Organization Active NPI

Sequoia Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1659074243
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SEQUOIA PSYCHIATRY LLC
Practice address
809 Greenbrier Pkwy Ste 111
Chesapeake, VA 23320-3861
Phone
(757) 524-3887
NPI assigned
Mar 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Michelle Matthew Eynon, PMHNP-BCNPI 1427294552
Title
Owner, Provider
Phone
(757) 524-3887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

809 Greenbrier Pkwy Ste 111
Chesapeake, VA 23320-3861

Mailing address

809 Greenbrier Pkwy Ste 111
Chesapeake, VA 23320-3861
Phone (757) 524-3887

National Provider Directory

National Provider Directory

Locations

809 Greenbrier Pkwy
Ste 111
Chesapeake, VA 23320
Phone (757) 524-3887

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1659074243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 GREENBRIER PKWY STE 111",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203861",
            "telephone_number": "757-524-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 GREENBRIER PKWY STE 111",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203861",
            "telephone_number": "757-524-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "EYNON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "757-524-3887",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.