Individual provider Active NPI

Catherine May Hubbard, PSYD

  • Clinical Psychologist
  • Southern Pines, NC
National Provider Identifier
1558415893
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810005173 Issued in VA
Practice address
340 Commerce Ave Ste 10
Southern Pines, NC 28387-7115
Phone
(757) 453-3010
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5561 NC
Clinical Psychologist 103TC0700X 0810005173 VA Primary

Addresses

Primary practice location

340 Commerce Ave Ste 10
Southern Pines, NC 28387-7115

Mailing address

101 N Lynnhaven Rd Ste 201
Virginia Beach, VA 23452-7523
Phone (757) 453-3010

Other practice location 1

101 N Lynnhaven Rd Ste 201
Virginia Beach, VA 23452-7523
Phone (757) 453-3010

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
I20230629000113 VA Practitioner - Clinical Psychologist 5890939946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 N Lynnhaven Rd
Suite 201
Virginia Beach, VA 23452-7523
Phone (757) 453-5288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5561NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
A New Perspective Therapy Services, PLLC Clinical CurrentSince Apr 25, 2023 Accepting new patients

Locations

101 N Lynnhaven Rd
Ste 201
Virginia Beach, VA 23452
Phone (757) 453-3010

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1558415893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N LYNNHAVEN RD STE 201",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527523",
            "telephone_number": "757-453-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 COMMERCE AVE STE 10",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877115",
            "telephone_number": "757-453-3010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N Lynnhaven Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527523",
            "country_code": "US",
            "telephone_number": "757-453-3010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "CATHERINE",
        "middle_name": "MAY",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "5561",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

Verify at the official NPI Registry.