Individual provider Active NPI

Paul Howard Van Valin, LCP

  • Psychologist
  • Norfolk, VA
National Provider Identifier
1578597662
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
810001442 Issued in VA
Practice address
6330 Newtown Rd
Suite 300
Norfolk, VA 23502-4802
Phone
(757) 466-3336
Fax
(757) 455-5750
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810001442 VA
Psychologist 103T00000X 810001442 VA Primary

Addresses

Primary practice location

6330 Newtown Rd
Suite 300
Norfolk, VA 23502-4802

Mailing address

6330 Newtown Rd
Suite 300
Norfolk, VA 23502-4802
Phone (757) 466-3336

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
I20110707000007 VA Practitioner - Clinical Psychologist 3274432570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Counseling Center, Inc.Group PAC ID 8729091715, 66 clinicians

Practice addresses (Care Compare)

2202 Executive Dr
Suite C
Hampton, VA 23666-6604
Phone (757) 827-7707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
810001442VAMDPsychologist
0810001442VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Counseling Center, Inc. Clinical CurrentSince Jan 1, 2023 Accepting new patients

Locations

638 Independence Pkwy
Ste 240
Chesapeake, VA 23320
Phone (757) 529-3189

2208 Executive Dr
Hampton, VA 23666
Phone (757) 720-2210

2202 Executive Dr
Ste C
Hampton, VA 23666
Phone (757) 838-5055

6330 Newtown Rd
Ste 300
Norfolk, VA 23502
Phone (757) 466-3336

223 McLaws Cir
Williamsburg, VA 23185
Phone (757) 564-3100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1578597662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 NEWTOWN RD",
            "address_2": "SUITE 300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024802",
            "telephone_number": "757-466-3336",
            "fax_number": "757-455-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 NEWTOWN RD",
            "address_2": "SUITE 300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024802",
            "telephone_number": "757-466-3336",
            "fax_number": "757-455-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN VALIN",
        "first_name": "PAUL",
        "middle_name": "HOWARD",
        "name_prefix": "Mr.",
        "credential": "LCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001442",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "810001442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.