Andrew Jackson Billups III, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810001192 Issued in VA

Practice address

48 South Main Street
Kilmarnock, VA 22482-2234

Phone

(804) 435-6777

Fax

(804) 435-6789

NPI assigned

Jul 3, 2006

Last updated

Jul 31, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Oyster Point Psychological, Inc

  • Clinical Psychologist
  • Kilmarnock, VA
  • NPI 1821298928
  Authorized official Same address or phone

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1689604027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 SOUTH MAIN STREET",
            "address_2": "BOX 2234",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224822234",
            "telephone_number": "804-435-6777",
            "fax_number": "804-435-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 SOUTH MAIN STREET",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224822234",
            "telephone_number": "804-435-6777",
            "fax_number": "804-435-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLUPS",
        "first_name": "ANDREW",
        "middle_name": "JACKSON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Kilmarnock, VA
• Providers in Kilmarnock, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.