Active NPI
Churchland Psychiatric Associates PC
- Psychiatry Physician
- Chesapeake, VA
National Provider Identifier
1740359223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- CHURCHLAND PSYCHIATRIC ASSOCIATES PC
- Practice address
- 4041 Taylor Rd Ste G
Chesapeake, VA 23321-5525 - Phone
- (757) 483-6404
- Fax
- (757) 483-0737
- NPI assigned
- Nov 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Colley
- Title
- Business Administrator
- Phone
- (757) 483-6404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
4041 Taylor Rd Ste G
Chesapeake, VA 23321-5525
Mailing address
4041 Taylor Rd Ste G
Chesapeake, VA 23321-5525
Phone (757) 483-6404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040519001370 | VA | Part B Supplier - Clinic/Group Practice | 5799776654 |
Receives reassigned benefits from 18 practitioners Practice locations: Chesapeake, VA |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- tonyaalexander@cpai.allscriptsdirect.net
- garystarkey@cpai.allscriptsdirect.net
- velmabacak@cpai.allscriptsdirect.net
- marlaclancy@cpai.allscriptsdirect.net
- richardeanbenjamin@cpai.allscriptsdirect.net
- federicovizcaino@cpai.allscriptsdirect.net
Practitioners & affiliated clinicians
Practitioners 31
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": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636243200000",
"number": "1740359223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4041 TAYLOR RD STE G",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233215525",
"telephone_number": "757-483-6404",
"fax_number": "757-483-0737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4041 TAYLOR RD STE G",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233215525",
"telephone_number": "757-483-6404",
"fax_number": "757-483-0737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHURCHLAND PSYCHIATRIC ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2021-11-07",
"certification_date": "2021-11-07",
"status": "A",
"authorized_official_last_name": "COLLEY",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
"authorized_official_telephone_number": "757-483-6404"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.