Soar Behavioral Health, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SOAR BEHAVIORAL HEALTH, LLC

Practice address

700 Flume Run Apt 102
Newport News, VA 23602-8900

Phone

(478) 595-3400

NPI assigned

Jul 13, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Glenn W Ahava, PH.D.NPI 1508172859

Title

Psychologist/Sole Member

Phone

(478) 595-3400

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

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

• Glenn W Ahava, PH.D.

  • Clinical Psychologist
  • Newport News, VA
  • NPI 1508172859
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1720828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720828800000",
    "number": "1730926916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 FLUME RUN APT 102",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236028900",
            "telephone_number": "478-595-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FLUME RUN APT 102",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236028900",
            "telephone_number": "478-595-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOAR BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-13",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A",
        "authorized_official_last_name": "AHAVA",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PSYCHOLOGIST/SOLE MEMBER",
        "authorized_official_telephone_number": "478-595-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Michael Snyder
• Holly Lynn Snyder, GENETIC COUNSELOR
• Niccole Marie Snyder, PA
• Robert James Snyder, MD
• Soar & Rest Outpatient Addiction and Mental Health Services, LLC.
• Soar Solutions, LLC
• Alexandria Soares, PTA
• Soaringhigh ABA VA LLC
• Ajmal Sobhan, MD
• Kseniia Sokolova, MD

• Clinical Psychologist in Newport News, VA
• Providers in Newport News, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2024; 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.