Organization Active NPI

Rawles & Associates, PLC

  • Psychologist
  • Newport News, VA
National Provider Identifier
1669631883
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
RAWLES & ASSOCIATES, PLC
Practice address
6022 Jefferson Ave
Suite 100
Newport News, VA 23605-3000
Phone
(757) 493-2912
Fax
(757) 493-2913
NPI assigned
Jun 3, 2008
Last updated
Apr 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Dr. Portia Deen Rawles, PSY. D.NPI 1639198153
Title
Ceo/Clinician
Phone
(757) 493-2912

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
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

6022 Jefferson Ave
Suite 100
Newport News, VA 23605-3000

Mailing address

6022 Jefferson Ave
Suite 100
Newport News, VA 23605-3000
Phone (757) 493-2912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080822000628 VA Part B Supplier - Clinic/Group Practice 9133294341 Receives reassigned benefits from 5 practitioners
Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Locations

416 Oakmears Cres
Virginia Beach, VA 23462

416 Oakmears Cres
Virginia Beach, VA 23462

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1669631883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6022 JEFFERSON AVE",
            "address_2": "SUITE 100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236053000",
            "telephone_number": "757-493-2912",
            "fax_number": "757-493-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6022 JEFFERSON AVE",
            "address_2": "SUITE 100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236053000",
            "telephone_number": "757-493-2912",
            "fax_number": "757-493-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAWLES & ASSOCIATES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "RAWLES",
        "authorized_official_first_name": "PORTIA",
        "authorized_official_middle_name": "DEEN",
        "authorized_official_title_or_position": "CEO/CLINICIAN",
        "authorized_official_telephone_number": "757-493-2912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.