Organization Active NPI

Hampton Road Family Service Inc.

  • Counseling Psychologist
  • Portsmouth, VA
National Provider Identifier
1669782033
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
0701004522 Issued in VA
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

Updated by the provider on Jun 14, 2011

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)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1003141227MedicaidVA

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.