Anna S Ord, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005557 Issued in VA

Practice address

1604 Hilltop West Executive Center
Suite 216
Virginia Beach, VA 23451

Phone

(757) 498-9585

Fax

(757) 468-1685

NPI assigned

Apr 8, 2015

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Anna Sergeyevna Shirokova Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1912393794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 HILLTOP WEST EXECUTIVE CENTER",
            "address_2": "SUITE 216",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23451",
            "telephone_number": "757-498-9585",
            "fax_number": "757-468-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 HILLTOP WEST EXECUTIVE CENTER",
            "address_2": "SUITE 216",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23451",
            "telephone_number": "757-498-9585",
            "fax_number": "757-468-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORD",
        "first_name": "ANNA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810005557",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "SHIROKOVA",
            "middle_name": "SERGEYEVNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Oral Surgery Associates
• Denise Renee Orazi
• Nelia A Orbeta, M.D.
• Bayani-Neal Orciga, DPT
• Lee Sy Orciga, FNP-BC, NP-C
• Joyce Ord, B.S.
• Alice Eusebio Ordonez, MD
• Sarah Orebaugh
• Lauren Nicole Orischak
• Michael Gerald Orndoff

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.