Organization Active NPI

P4P Behavior Healthcare, PLLC

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1750198214
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
P4P BEHAVIOR HEALTHCARE, PLLC
Practice address
6465 College Park SQ Ste 210
Virginia Beach, VA 23464-3622
Phone
(757) 336-8356
Fax
(757) 257-3450
NPI assigned
Dec 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Dr. Rhanada Vazquez, DSL, LPCNPI 1144805631
Title
Ceo
Phone
(757) 301-1160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X

Addresses

Primary practice location

6465 College Park SQ Ste 210
Virginia Beach, VA 23464-3622

Mailing address

6465 College Park SQ Ste 210
Virginia Beach, VA 23464-3622
Phone (757) 336-8356

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1750198214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 COLLEGE PARK SQ STE 210",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643622",
            "telephone_number": "757-336-8356",
            "fax_number": "757-257-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 COLLEGE PARK SQ STE 210",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643622",
            "telephone_number": "757-336-8356",
            "fax_number": "757-257-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P4P BEHAVIOR HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "RHANADA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-301-1160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSL, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.