Individual provider Active NPI

David L Deaver

  • Clinical Psychologist
  • Chesapeake, VA
National Provider Identifier
1891708160
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810000797 Issued in VA
Practice address
3210 Churchland Blvd
Suite 4
Chesapeake, VA 23321-5253
Phone
(757) 483-3340
Fax
(757) 483-0461
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810000797 VA Primary

Addresses

Primary practice location

3210 Churchland Blvd
Suite 4
Chesapeake, VA 23321-5253

Mailing address

234 N Blake Rd
Norfolk, VA 23505-4404
Phone (757) 423-6331

Other identifiers 2

IdentifierTypeStateIssuer
84273MOtherVASENTARA
138540OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041016000127 VA Practitioner - Clinical Psychologist 0840250502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Associates of TidewaterGroup PAC ID 4981688744, 9 clinicians
Michael S. Weissman, PH.D.,LTDGroup PAC ID 1355314170, 16 clinicians

Practice addresses (Care Compare)

12695 McManus Blvd
BLDG 8
Newport News, VA 23602-4442
Phone (757) 877-7700

3101 American Legion Rd
Suite 21B
Chesapeake, VA 23321-5699
Phone (757) 483-3404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810000797VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Associates of Tidewater CurrentSince Nov 4, 2015 Accepting new patients
Psychotherapy Resources of Norfolk LTD Clinical PastSince Sep 1, 2025 Accepting new patients
Comprehensive Psychological Services PastSince Apr 1, 2023 Accepting new patients
Parker Schlichter & Associates Past Accepting new patients
T Med Behavioral Inc Clinical Past Accepting new patients
Rock Landing Psychological Group PLC Clinical PastSince Jan 4, 2010 Accepting new patients

Locations

12695 McManus Blvd
Bldg 8
Newport News, VA 23602
Phone (757) 877-7700

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891708160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 N BLAKE RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054404",
            "telephone_number": "757-423-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 CHURCHLAND BLVD",
            "address_2": "SUITE 4",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215253",
            "telephone_number": "757-483-3340",
            "fax_number": "757-483-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAVER",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "84273M",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "138540",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.