Individual provider Active NPI

Renee Brush, PH.D.

  • Psychologist
  • Virginia Beach, VA
National Provider Identifier
1720520620
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810005575 Issued in VA
Practice address
485 S Independence Blvd Ste 104
Virginia Beach, VA 23452
Phone
(757) 574-0355
Fax
(757) 574-0356
NPI assigned
Nov 8, 2016
Last updated
Aug 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0810005575 VA Primary

Addresses

Primary practice location

485 S Independence Blvd Ste 104
Virginia Beach, VA 23452

Mailing address

485 S Independence Blvd Ste 104
Virginia Beach, VA 23452-1129
Phone (757) 574-0355

Other practice location 1

485 S Independence Blvd Ste 104
Virginia Beach, VA 23452
Phone (757) 574-0355

Other names 1

  • Dr. Renee Seay Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170126000829 VA Practitioner - Clinical Psychologist 4183906100 Practice locations: Virginia Beach, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

760 Lynnhaven Pkwy
Suite 200
Virginia Beach, VA 23452-7325
Phone (757) 574-0355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810005575VAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Norfolk Psychiactric Associates PC CurrentSince Dec 1, 2016 Accepting new patients
Personal Insights Psychotherapy & Assessments LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

6353 Center Dr
Ste 204
Norfolk, VA 23502
Phone (757) 461-3313

485 S Independence Blvd
Ste 104
Virginia Beach, VA 23452
Phone (757) 574-0355

760 Lynnhaven Pkwy
Ste 200
Virginia Beach, VA 23452
Phone (757) 296-6707

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1720520620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 S INDEPENDENCE BLVD STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521129",
            "telephone_number": "757-574-0355",
            "fax_number": "757-574-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 S INDEPENDENCE BLVD STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23452",
            "telephone_number": "757-574-0355",
            "fax_number": "757-574-0356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "485 S Independence Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "23452",
            "country_code": "US",
            "telephone_number": "757-574-0355",
            "fax_number": "757-574-0356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUSH",
        "first_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810005575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "SEAY",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.