Individual provider Active NPI

Thomas Andrew Sugden, PSYD

  • Clinical Psychologist
  • Virginia Beach, VA
National Provider Identifier
1598737496
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810003305 Issued in VA
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

Updated by the provider on Apr 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0100358G8MedicaidVA
279306OtherANTHEM PPO
279306OtherBCBS
573544OtherMAGELLAN
C01884OtherMCARE GROUP #
279306OtherANTHEM HEALTHKEEPERS
085989MOtherSENTARA OPTIMA
234201OtherCOMPSYCH
2114650OtherMAMSI

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

LicenseStateTypeSpecialty
0810003305VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Therapy & Consulting PLLC CurrentSince May 1, 2013 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.

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.

Verify at the official NPI Registry.