Active NPI
Stephanie Nevin, PSY.D.
- Clinical Psychologist
- Virginia Beach, VA
National Provider Identifier
1891118808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810006149
- Practice address
- 1206 Laskin Rd Ste 201G
Virginia Beach, VA 23451-5263 - Phone
- (757) 620-8545
- NPI assigned
- Jan 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 14-04P | AR | |
| Clinical Psychologist | 103TC0700X | 0810006149 | VA | Primary |
Addresses
Primary practice location
1206 Laskin Rd Ste 201G
Virginia Beach, VA 23451-5263
Mailing address
1206 Laskin Rd Ste 201G
Virginia Beach, VA 23451-5263
Phone (757) 620-8545
Other practice location 1
519 Latham Dr
Lowell, AR 72745-8360
Phone (479) 750-0125 ext. 266
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810006149 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1891118808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 LASKIN RD STE 201G",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234515263",
"telephone_number": "757-620-8545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 LASKIN RD STE 201G",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234515263",
"telephone_number": "757-620-8545"
}
],
"practiceLocations": [
{
"address_1": "519 Latham Dr",
"address_purpose": "LOCATION",
"city": "Lowell",
"state": "AR",
"postal_code": "727458360",
"country_code": "US",
"telephone_number": "479-750-0125 x266",
"fax_number": "479-750-0875",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEVIN",
"first_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-27",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "AR",
"license": "14-04P",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810006149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
- Neurohive Therapeutic Collaborative, LLC
- Neurology Consulants of Tidewater PLLC (Virginia Beach Neurology)
- Neurology Institute of Virginia, PLLC
- Neuropsychological Services of Tidewater, LLC
- Kelly Nevala, LMT
- New Beginnings Psychotherapy Consultants, LLC
- New Beginnings Residential Supportive Care Services LLC
- New Chance Today LLC
- New Connections Counseling & Consultation
- New Connections Counseling & Consultation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.