Active NPI
John R Hitchcock, LPC
- Clinical Psychologist
- Virginia Beach, VA
National Provider Identifier
1619112851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0701002795
- Practice address
- 281 Independence Blvd
Suite 326
Virginia Beach, VA 23462-2986 - Phone
- (757) 490-0377
- NPI assigned
- Dec 2, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 0701002795 | VA | Primary |
Addresses
Primary practice location
281 Independence Blvd
Suite 326
Virginia Beach, VA 23462-2986
Mailing address
281 Independence Blvd
Suite 326
Virginia Beach, VA 23462-2986
Phone (757) 490-0377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007770359 | Medicaid | VA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701002795 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228176000000",
"number": "1619112851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 INDEPENDENCE BLVD",
"address_2": "SUITE 326",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234622986",
"telephone_number": "757-490-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 INDEPENDENCE BLVD",
"address_2": "SUITE 326",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234622986",
"telephone_number": "757-490-0377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HITCHCOCK",
"first_name": "JOHN",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-02",
"last_updated": "2008-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0701002795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007770359",
"state": "VA"
}
],
"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 Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.