Oyster Point Psychological, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810001192 Issued in VA

Legal business name

OYSTER POINT PSYCHOLOGICAL, INC

Practice address

48 South Main Street
Kilmarnock, VA 22482-2234

Phone

(804) 435-6777

NPI assigned

Jul 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Jackson Billups III, PSYD

Title

Owner/President

Phone

(804) 435-6777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1821298928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 SOUTH MAIN STREET",
            "address_2": "BOX 2234",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224822234",
            "telephone_number": "804-435-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 SOUTH MAIN STREET",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224822234",
            "telephone_number": "804-435-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OYSTER POINT PSYCHOLOGICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "BILLUPS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "804-435-6777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robert William Poole, M.D.

• Clinical Psychologist in Kilmarnock, VA
• Providers in Kilmarnock, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.

Verify at the official NPI Registry.