Active NPI
Hampton Road Family Service Inc.
- Counseling Psychologist
- Portsmouth, VA
National Provider Identifier
1669782033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 0701004522
- Legal business name
- HAMPTON ROAD FAMILY SERVICE INC.
- Practice address
- 1000 Leckie St
Portsmouth, VA 23704-1904 - Phone
- (757) 399-4742
- NPI assigned
- Oct 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sandra Pinnock
- Title
- President
- Phone
- (757) 644-7025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 0701004522 | VA | Primary |
Addresses
Primary practice location
1000 Leckie St
Portsmouth, VA 23704-1904
Mailing address
1000 Leckie St
Portsmouth, VA 23704-1904
Phone (757) 399-4742
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003141227 | Medicaid | VA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308009600000",
"number": "1669782033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 LECKIE ST",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237041904",
"telephone_number": "757-399-4742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 LECKIE ST",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237041904",
"telephone_number": "757-399-4742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAMPTON ROAD FAMILY SERVICE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-19",
"last_updated": "2011-06-14",
"status": "A",
"authorized_official_last_name": "PINNOCK",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "757-644-7025",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "VA",
"license": "0701004522",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003141227",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
- Megan Hope Halliday, MD
- Danielle Hamilton, M.S.
- Kayla Hamilton, P.T.
- Titus Hamlett, PH.D.
- James Earl Hammond, DO, ATC
- Hampton Roads Behavioral Health & Wellness LLC
- Hampton Roads Community Health Center
- Hampton Roads Community Health Center
- Hampton Roads Family Dental Portmouth LLC
- Hampton Roads Hospitalist Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.