Active NPI
Wendy Coffield, PHD
- Clinical Psychologist
- Virginia Beach, VA
National Provider Identifier
1497701213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810001062
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7703953 | Medicaid | VA |
Other names 1
- Ms. Wendy Gelfand
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1941 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independence Therapy Center P C | Past | Accepting new patients | |
| Elizabeth McGinnis LPC LMFT LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Clinical Psychologist
- Chesapeake, VA
- NPI 1487884102
-
- Professional Counselor
- Chesapeake, VA
- NPI 1649789983
-
- Counselor
- Virginia Beach, VA
- NPI 1497853527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.