Organization Active NPI

Empowering Minds

  • Intellectual & Developmental Disabilities Psychologist
  • Virginia Beach, VA
National Provider Identifier
1881459535
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
Legal business name
EMPOWERING MINDS
Practice address
3940 Sunstream Pkwy
Virginia Beach, VA 23456-1318
Phone
(757) 998-1904
NPI assigned
Feb 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Ernest Carlton Clare
Title
Owner
Phone
(757) 998-1904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TM1800X Primary

Addresses

Primary practice location

3940 Sunstream Pkwy
Virginia Beach, VA 23456-1318

Mailing address

3940 Sunstream Pkwy
Virginia Beach, VA 23456-1318
Phone (757) 998-1904

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1881459535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 SUNSTREAM PKWY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561318",
            "telephone_number": "757-998-1904",
            "fax_number": "757-210-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 SUNSTREAM PKWY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561318",
            "telephone_number": "757-998-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERING MINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-03-07",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "CLARE",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "CARLTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-998-1904"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "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 Mar 7, 2024; 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.