Organization Active NPI

Schlichter Psychotherapy Associates

  • Group Psychotherapy Psychologist
  • Norfolk, VA
National Provider Identifier
1700431624
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
SCHLICHTER PSYCHOTHERAPY ASSOCIATES
Practice address
500 E Plume St Ste 205
Norfolk, VA 23510-2325
Phone
(757) 828-1640
Fax
(757) 210-3905
NPI assigned
Aug 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Authorized official

Name
Jeff Schlichter, PH.D.
Title
Owner/Authorized Official
Phone
(757) 828-1640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP2701X Primary

Addresses

Primary practice location

500 E Plume St Ste 205
Norfolk, VA 23510-2325

Mailing address

PO Box 2546
Virginia Beach, VA 23450-2546
Phone (757) 340-3489

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191211003029 VA Part B Supplier - Clinic/Group Practice 1850622598 Receives reassigned benefits from 2 practitioners
Practice locations: Norfolk, VA

National Provider Directory

National Provider Directory

Locations

4509 Colley Ave
Norfolk, VA 23508
Phone (757) 423-1933

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1700431624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2546",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234502546",
            "telephone_number": "757-340-3489",
            "fax_number": "757-340-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E PLUME ST STE 205",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102325",
            "telephone_number": "757-828-1640",
            "fax_number": "757-210-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHLICHTER PSYCHOTHERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "SCHLICHTER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "757-828-1640",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.