Active NPI
Thomas Andrew Sugden, PSYD
- Clinical Psychologist
- Virginia Beach, VA
National Provider Identifier
1598737496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810003305
- Practice address
- 228 N Lynnhaven Rd Ste 110
Virginia Beach, VA 23452-7514 - Phone
- (757) 201-2927
- Fax
- (757) 321-6269
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810003305 | VA | Primary |
Addresses
Primary practice location
228 N Lynnhaven Rd Ste 110
Virginia Beach, VA 23452-7514
Mailing address
3419 Virginia Beach Blvd # 800
Virginia Beach, VA 23452-4419
Phone (757) 714-1838
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0100358G8 | Medicaid | VA | |
| 279306 | Other | ANTHEM PPO | |
| 279306 | Other | BCBS | |
| 573544 | Other | MAGELLAN | |
| C01884 | Other | MCARE GROUP # | |
| 279306 | Other | ANTHEM HEALTHKEEPERS | |
| 085989M | Other | SENTARA OPTIMA | |
| 234201 | Other | COMPSYCH | |
| 2114650 | Other | MAMSI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810003305 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beach Therapy & Consulting PLLC | Current | Accepting new patients | |
| Atlantic Psychiatric Services | Past | Accepting new patients |
Locations
3419 Virginia Beach Blvd
Virginia Beach, VA 23452
Phone (757) 255-8454
228 N Lynnhaven Rd
Ste 110
Virginia Beach, VA 23452
Phone (757) 340-6100
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Virginia Beach, VA
- NPI 1326482779
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Virginia Beach, VA
- NPI 1063514925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367193600000",
"number": "1598737496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3419 VIRGINIA BEACH BLVD # 800",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234524419",
"telephone_number": "757-714-1838",
"fax_number": "757-321-6269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 N LYNNHAVEN RD STE 110",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527514",
"telephone_number": "757-201-2927",
"fax_number": "757-321-6269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUGDEN",
"first_name": "THOMAS",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2013-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810003305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0100358G8",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PPO",
"identifier": "279306",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "279306",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "573544",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE GROUP #",
"identifier": "C01884",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTHKEEPERS",
"identifier": "279306",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA OPTIMA",
"identifier": "085989M",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "234201",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2114650",
"state": null
}
],
"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 Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.