Center for Psychological Assessment & Therapeutics, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810000350 Issued in VA

Legal business name

CENTER FOR PSYCHOLOGICAL ASSESSMENT & THERAPEUTICS, INC

Practice address

5900 E Virginia Beach Blvd
Norfolk, VA 23502-2530

Phone

(757) 714-1838

Fax

(757) 321-6269

NPI assigned

Nov 6, 2014

Last updated

Nov 6, 2014By 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

Dr. Glenn Rex Miller Jr., PHDNPI 1851439061

Title

President

Phone

(757) 340-1164

Specialties & licenses 1

Addresses

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.

• Glenn Rex Miller Jr., PH.D.

  • Clinical Psychologist
  • Norfolk, VA
  • NPI 1851439061
  Authorized official Same address or phone

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1720484587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13296",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233250296",
            "telephone_number": "757-714-1838",
            "fax_number": "757-321-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 E VIRGINIA BEACH BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022530",
            "telephone_number": "757-714-1838",
            "fax_number": "757-321-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PSYCHOLOGICAL ASSESSMENT & THERAPEUTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "REX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-340-1164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cencare Home Health Solutions LLC
• Center for Advanced Psychological Services
• Center for Change LLC
• Center for Excellence (C. Rick Ellis, Ed.D.)
• Center for Personal Growth & Change
• Centerwell Senior Primary Care VA CS PC
• Centerwell Senior Primary Care VA PLLC (CenterWell Senior Primary Care-Tidewater)
• Brylee Jase Ceraul
• Briana Alexandra Cervantes, DO
• Gail Cervarich, LCSW

• Clinical Psychologist in Norfolk, VA
• Providers in Norfolk, 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 6, 2014; 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.