Visions of Hope Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

VISIONS OF HOPE PSYCHOLOGICAL SERVICES

Practice address

555 Southlake Blvd Unit C2
North Chesterfield, VA 23236-3060

Phone

(804) 592-0491

NPI assigned

Jan 18, 2021

Last updated

Nov 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Selisha Nelson, PH.D, LCP

Title

Licensed Clinical Psychologist

Phone

(804) 592-0491

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Selisha Nelson-Smith, PHD, LCP

  • Clinical Psychologist
  • North Chesterfield, VA
  • NPI 1841849163
  Medicare reassignment NPD

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1710576343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SOUTHLAKE BLVD UNIT C2",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363060",
            "telephone_number": "804-592-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SOUTHLAKE BLVD UNIT C2",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363060",
            "telephone_number": "804-592-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONS OF HOPE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SELISHA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "804-592-0491",
        "authorized_official_credential": "PH.D, LCP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.nelson@visionsofhope-va.com",
            "affiliation": "N",
            "address_1": "555 Southlake Blvd Unit C2",
            "city": "North Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232363060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adeline Wagner

• Clinical Psychologist in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.