Individual provider Active NPI

Mark Wehrlin, PSYD CLINICAL PSYCHO

  • Psychologist
  • Norfolk, VA
National Provider Identifier
1558384800
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810002036 Issued in VA
Practice address
420 N Center Dr
Suite 141 Building 11
Norfolk, VA 23502
Phone
(757) 466-0700
Fax
(757) 461-4826
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0810002036 VA Primary

Addresses

Primary practice location

420 N Center Dr
Suite 141 Building 11
Norfolk, VA 23502

Mailing address

420 N Center Dr
Suite 141 Building 11
Norfolk, VA 23502
Phone (757) 466-0700

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
I20050301000413 VA Practitioner - Clinical Psychologist 3072566132 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0810002036VAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Personal Growth & Change CurrentSince Jul 1, 2020 Accepting new patients
Finney Psychotherapy Associates Iop Past Accepting new patients

Locations

3105 American Legion Rd
Ste F
Chesapeake, VA 23321
Phone (757) 227-3072

6350 Center Dr
Ste 106
Norfolk, VA 23502
Phone (757) 227-3072

Organizations & group practices 2

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558384800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N CENTER DR",
            "address_2": "SUITE 141 BUILDING 11",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23502",
            "telephone_number": "757-466-0700",
            "fax_number": "757-461-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N CENTER DR",
            "address_2": "SUITE 141 BUILDING 11",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23502",
            "telephone_number": "757-466-0700",
            "fax_number": "757-461-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEHRLIN",
        "first_name": "MARK",
        "credential": "PSYD CLINICAL PSYCHO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810002036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.