Organization Active NPI

Miranda Communications , Inc

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1528456183
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MIRANDA COMMUNICATIONS , INC
Practice address
2940 N Lynnhaven Rd
Suite 130
Virginia Beach, VA 23452-6949
Phone
(917) 378-0253
NPI assigned
Jan 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Authorized official

Name
Ms. Edith B. Bealujon, L.C.S.W
Title
Director
Phone
(917) 378-0253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2940 N Lynnhaven Rd
Suite 130
Virginia Beach, VA 23452-6949

Mailing address

5205 Ordsall PL
Virginia Beach, VA 23455-6884
Phone (917) 378-0253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150304000566 VA Part B Supplier - Clinic/Group Practice 4385960673 Receives reassigned benefits from 1 practitioner
Practice locations: Norfolk, VA; Virginia Beach, VA

National Provider Directory

National Provider Directory
Tax ID family
Miranda Communication2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

821 W 21st St
Ste 208
Norfolk, VA 23517

333 W Freemason St
Ste 203
Norfolk, VA 23510
Phone (917) 378-0253

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1528456183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 ORDSALL PL",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556884",
            "telephone_number": "917-378-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 N LYNNHAVEN RD",
            "address_2": "SUITE 130",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234526949",
            "telephone_number": "917-378-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRANDA COMMUNICATIONS , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "BEALUJON",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-378-0253",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.S.W"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.