Active NPI
David Jennings II, PH.D.
- Clinical Psychologist
- Virginia Beach, VA
National Provider Identifier
1780077222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810005152
- Practice address
- 281 Independence Blvd
Suite 326
Virginia Beach, VA 23462-2986 - Phone
- (757) 490-0377
- Fax
- (757) 497-1327
- NPI assigned
- Mar 9, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810005152 | VA | Primary |
Addresses
Primary practice location
281 Independence Blvd
Suite 326
Virginia Beach, VA 23462-2986
Mailing address
281 Independence Blvd
Suite 326
Virginia Beach, VA 23462-2986
Phone (757) 490-0377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810005152 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425859200000",
"number": "1780077222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 INDEPENDENCE BLVD",
"address_2": "SUITE 326",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234622986",
"telephone_number": "757-490-0377",
"fax_number": "757-497-1327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 INDEPENDENCE BLVD",
"address_2": "SUITE 326",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234622986",
"telephone_number": "757-490-0377",
"fax_number": "757-497-1327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "DAVID",
"name_suffix": "II",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-09",
"last_updated": "2015-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810005152",
"primary": true
}
],
"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 Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.