Individual provider Active NPI

Wendy Coffield, PHD

  • Clinical Psychologist
  • Virginia Beach, VA
National Provider Identifier
1497701213
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810001062 Issued in VA
Practice address
700 Independence Circle
Suite 3D Independence Therapy Center
Virginia Beach, VA 23455
Phone
(757) 473-8533
Fax
(757) 456-0616
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1941 NC
Clinical Psychologist 103TC0700X 0810001062 VA Primary

Addresses

Primary practice location

700 Independence Circle
Suite 3D Independence Therapy Center
Virginia Beach, VA 23455

Mailing address

3340 Glen Eden Quay
Virginia Beach, VA 23452
Phone (757) 340-8888

Other identifiers 1

IdentifierTypeStateIssuer
7703953MedicaidVA

Other names 1

  • Ms. Wendy Gelfand Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050113000781 VA Practitioner - Clinical Psychologist 8325097660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chesapeake Psychological Associates, LLCGroup PAC ID 8022155100, 6 clinicians

Practice addresses (Care Compare)

640 Independence Pkwy
Suite 100
Chesapeake, VA 23320-5205
Phone (757) 420-0530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1941NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Therapy Center P C PastSince Apr 1, 1990 Accepting new patients
Elizabeth McGinnis LPC LMFT LLC PastSince Mar 7, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wendy.coffield.1@24900.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1497701213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 GLEN EDEN QUAY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23452",
            "telephone_number": "757-340-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 INDEPENDENCE CIRCLE",
            "address_2": "SUITE 3D INDEPENDENCE THERAPY CENTER",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23455",
            "telephone_number": "757-473-8533",
            "fax_number": "757-456-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFIELD",
        "first_name": "WENDY",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1941",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703953",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "GELFAND",
            "prefix": "MS.",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.