Active NPI
Emilio G Cortes, PSY.D,
- Clinical Psychologist
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3090
- Practice address
- 2580 Potters Rd
Virginia Beach, VA 23454-4324 - Phone
- (757) 498-9391
- Fax
- (757) 498-7073
- NPI assigned
- Aug 22, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810004564 | VA | |
| Clinical Psychologist | 103TC0700X | 3090 | PR | Primary |
Addresses
Primary practice location
2580 Potters Rd
Virginia Beach, VA 23454-4324
Mailing address
2580 Potters Rd
Virginia Beach, VA 23454-4324
Phone (757) 498-9391
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Ponce School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1500 E Little Creek Rd
Suite 205
Norfolk, VA 23518-4137
Phone (757) 587-4744
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3090 | PR | MD | Clinical Psychologist |
| 0810004564 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portsmouth Community Health Center Inc | Current | Accepting new patients | |
| Portsmouth Community Health Center, Inc. | Current | Accepting new patients | |
| Hampton Roads Behavioral Health,PC | Current | Accepting new patients |
Locations
1500 E Little Creek Rd
Ste 205
Norfolk, VA 23518
Phone (757) 587-4744
1541 High St
Portsmouth, VA 23704
Phone (757) 393-6363
664 Lincoln St
Portsmouth, VA 23704
Phone (757) 393-6363
Interoperability endpoints
- emilio.cortes.1@24900.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Norfolk, VA
- NPI 1356394696
-
- Federally Qualified Health Center (FQHC)
- Portsmouth, VA
- NPI 1134199193
-
- Federally Qualified Health Center (FQHC)
- Norfolk, VA
- NPI 1144604877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358294400000",
"number": "1811144777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2580 POTTERS RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234544324",
"telephone_number": "757-498-9391",
"fax_number": "757-498-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 POTTERS RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234544324",
"telephone_number": "757-498-9391",
"fax_number": "757-498-7073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTES",
"first_name": "EMILIO",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "PSY.D,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-22",
"last_updated": "2013-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810004564",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "3090",
"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 Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.