Individual provider Active NPI

Terry James Gingras, PH.D.

  • Clinical Neuropsychologist
  • Newport News, VA
National Provider Identifier
1508894601
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
0810001800 Issued in VA
Practice address
710 Denbigh Blvd
Suite 6B
Newport News, VA 23608-4427
Phone
(757) 833-7107
Fax
(757) 833-7109
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 0810001800 VA Primary
Clinical Psychologist 103TC0700X 0810001800 VA

Addresses

Primary practice location

710 Denbigh Blvd
Suite 6B
Newport News, VA 23608-4427

Mailing address

710 Denbigh Blvd
Suite 6B
Newport News, VA 23608-4427
Phone (757) 833-7107

Other identifiers 5

IdentifierTypeStateIssuer
331480OtherVABLUE CROSS/BLUE SHIELD
338160OtherVAOPTIMUM/MAMSI
0321329OtherVAVALUE OPTIONS
5265267OtherVAAETNA
085455OtherVISENTARA/OPTIMA

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
I20050523001147 VA Practitioner - Clinical Psychologist 0446292213 Practice locations: Newport News, VA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0810001800VAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Mental Health Associates, Inc PastSince Jan 12, 2012 Accepting new patients

Organizations & group practices 1

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1508894601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 DENBIGH BLVD",
            "address_2": "SUITE 6B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084427",
            "telephone_number": "757-833-7107",
            "fax_number": "757-833-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 DENBIGH BLVD",
            "address_2": "SUITE 6B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084427",
            "telephone_number": "757-833-7107",
            "fax_number": "757-833-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGRAS",
        "first_name": "TERRY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810001800",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "331480",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM/MAMSI",
            "identifier": "338160",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "0321329",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5265267",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA/OPTIMA",
            "identifier": "085455",
            "state": "VI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.