Active NPI
Joy P Kannarkat, PHD
- Clinical Psychologist
- Virginia Beach, VA
National Provider Identifier
1669444360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810000814
- Practice address
- 770 Lynnhaven Pkwy
Suite 240
Virginia Beach, VA 23452-7324 - Phone
- (757) 962-2780
- Fax
- (757) 240-5936
- NPI assigned
- Feb 6, 2006
- Last updated
- May 30, 2013
- 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 | 0810000814 | VA | Primary |
Addresses
Primary practice location
770 Lynnhaven Pkwy
Suite 240
Virginia Beach, VA 23452-7324
Mailing address
770 Lynnhaven Pkwy
Suite 240
Virginia Beach, VA 23452-7324
Phone (757) 962-2780
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2193341 | Other | CIGNA | |
| P00129343 | Other | MCARE RAILROAD | |
| 043060 | Other | MAGELLAN | |
| 233906 | Other | COM PSYCH | |
| 007702281 | Medicaid | VA | |
| 095094 | Other | ANTHEM HEALTH KEEPERS | |
| D95094 | Other | VA | ANTHEM BCBS |
| 080940 | Other | VA | SENTARA OPTIMA |
| 095094 | Other | ANTHEM PPO BCBS | |
| 35654812 | Other | MULTIPLAN | |
| C02527 | Other | MCARE GROUP | |
| 031441 | Other | VALUE OPTIONS | |
| 080940 | Other | SENTARA OPTIMA | |
| 133101 | Other | MANAGED HEALTH NETWORK | |
| 213530 | 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
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Psychiatric Services | Past | Accepting new patients | |
| TMS Neurohealth Centers Virginia Beach, LLC | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Virginia Beach, VA
- NPI 1063514925
-
- Psychiatry Physician
- Virginia Beach, VA
- NPI 1376930685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1669444360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 LYNNHAVEN PKWY",
"address_2": "SUITE 240",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527324",
"telephone_number": "757-962-2780",
"fax_number": "757-240-5936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 LYNNHAVEN PKWY",
"address_2": "SUITE 240",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527324",
"telephone_number": "757-962-2780",
"fax_number": "757-240-5936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANNARKAT",
"first_name": "JOY",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810000814",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2193341",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE RAILROAD",
"identifier": "P00129343",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "043060",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COM PSYCH",
"identifier": "233906",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007702281",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTH KEEPERS",
"identifier": "095094",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "D95094",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA OPTIMA",
"identifier": "080940",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PPO BCBS",
"identifier": "095094",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "35654812",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE GROUP",
"identifier": "C02527",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "031441",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA OPTIMA",
"identifier": "080940",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "133101",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "213530",
"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 May 30, 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.