East Coast Psychological Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EAST COAST PSYCHOLOGICAL SERVICES

Practice address

508 Whitehaven Cres
Chesapeake, VA 23325-4431

Phone

(757) 971-3400

NPI assigned

Aug 24, 2022

Last updated

Aug 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen Walsh, LMFTNPI 1790063105

Title

Ceo

Phone

(757) 971-3400

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen Carter Walsh, LMFT

  • Marriage & Family Therapist
  • Salinas, CA
  • NPI 1790063105
  NPD Authorized official

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1912626987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 WHITEHAVEN CRES",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233254431",
            "telephone_number": "757-971-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 WHITEHAVEN CRES",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233254431",
            "telephone_number": "757-971-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-971-3400",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Chesapeake, VA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.