Active NPI
Julia Doherty
- School Psychologist
- Norfolk, VA
National Provider Identifier
1821682824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 0813001125
- Practice address
- 350 W Government Ave
Norfolk, VA 23503-2840 - Phone
- (757) 531-3105
- NPI assigned
- Feb 22, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 0813001125 | VA | Primary |
Addresses
Primary practice location
350 W Government Ave
Norfolk, VA 23503-2840
Mailing address
153 W Randall Ave
Norfolk, VA 23503-4334
Phone (203) 767-6974
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0813001125 | VA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1821682824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 W RANDALL AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235034334",
"telephone_number": "203-767-6974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 W GOVERNMENT AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235032840",
"telephone_number": "757-531-3105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOHERTY",
"first_name": "JULIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-22",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "VA",
"license": "0813001125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.