Organization Active NPI

Jan D. Hembree PHD PC

  • Psychologist
  • Virginia Beach, VA
National Provider Identifier
1821215823
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810000961 Issued in VA
Legal business name
JAN D. HEMBREE PHD PC
Practice address
2940 N Lynnhaven Rd Ste 110
Virginia Beach, VA 23452-6949
Phone
(757) 498-0300
Fax
(757) 498-1048
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Dr. Jan D Hembree, PHD
Title
Clinical Psychologist
Phone
(757) 498-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 0810000961 VA Primary

Addresses

Primary practice location

2940 N Lynnhaven Rd Ste 110
Virginia Beach, VA 23452-6949

Mailing address

2940 N Lynnhaven Rd Ste 110
Virginia Beach, VA 23452-6949
Phone (757) 498-0300

Other identifiers 1

IdentifierTypeStateIssuer
7755554MedicaidVA

National Provider Directory

National Provider Directory

Locations

2940 N Lynnhaven Rd
#110
Virginia Beach, VA 23452
Phone (757) 343-7276

2940 N Lynnhaven Rd
Ste 110
Virginia Beach, VA 23452
Phone (757) 287-3048

Practitioners & affiliated clinicians

Practitioners 2

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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1821215823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 N LYNNHAVEN RD STE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234526949",
            "telephone_number": "757-498-0300",
            "fax_number": "757-498-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 N LYNNHAVEN RD STE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234526949",
            "telephone_number": "757-498-0300",
            "fax_number": "757-498-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN D. HEMBREE PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "HEMBREE",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "757-498-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810000961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7755554",
            "state": "VA"
        }
    ],
    "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 Apr 28, 2008; 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.