Ace Leonard Tubbs Jr., PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810000253 Issued in VA

Practice address

1560 Bordeaux PL
Norfolk, VA 23509-1314

Phone

(757) 622-6242

NPI assigned

Nov 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Hampton Roads Behavioral Health,PC

  • Mental Health Counselor
  • Norfolk, VA
  • NPI 1356394696
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1841273273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 BORDEAUX PL",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235091314",
            "telephone_number": "757-622-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 BORDEAUX PL",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235091314",
            "telephone_number": "757-622-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBBS",
        "first_name": "ACE",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007700563",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "433818",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Olivia Trzcinski, MD
• Jennifer Alisangco Tschanz, NP
• Victor Marc Tsou, M.D.
• Leilanie C Tuanquin-Gonzalez, M.D.
• Ruth Grantham Tubb, OT
• Elliot Moore Tucker, M.D.
• Kimberly J Tucker, PHARM.D
• Michael L Tucker, M.D.
• Rebecca Jackson Tucker, NNP
• Julianna Rae Tuft, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.