Norfolk Psychiatric Associates PC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

0810001188 Issued in VA

Legal business name

NORFOLK PSYCHIATRIC ASSOCIATES PC

Practice address

6330 Newtown Rd
Norfolk, VA 23502-4802

Phone

(757) 461-3313

Fax

(757) 461-8363

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

David M Portner, PHD

Title

Pschologist

Phone

(757) 461-3313

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Norfolk Psychiatric Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Norfolk Psychiatric Associates

  • Mental Health Counselor
  • Norfolk, VA
  • NPI 1932291291
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David H Keenan, MSW EDD

  • Psychologist
  • Norfolk, VA
  • NPI 1356351597
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1700071891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 NEWTOWN RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024802",
            "telephone_number": "757-461-3313",
            "fax_number": "757-461-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 NEWTOWN RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024802",
            "telephone_number": "757-461-3313",
            "fax_number": "757-461-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORFOLK PSYCHIATRIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "PORTNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSCHOLOGIST",
        "authorized_official_telephone_number": "757-461-3313",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "0810001188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENCE",
            "identifier": "0810001188",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norfolk Opco, LLC
• Norfolk Pediatrics, P.L.C.
• Norfolk Plastic Surgery, PC
• Norfolk Psychiactric Associates PC
• Norfolk Psychiatric Associates
• Norfolk Senior Care LLC
• Norfolk SNF LLC
• Norman P. Moore,DDS,LTD.
• E'Mani Chantelle Norman
• Gierra Nichey Norman

• Preferred Provider Organization in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Preferred Provider Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.