Organization Active NPI

Dynamic Therapy and Consulting LLC

  • Clinic/Center
  • Chesapeake, VA
National Provider Identifier
1942093620
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DYNAMIC THERAPY AND CONSULTING LLC
Practice address
4225 Portsmouth Blvd Ste B
Chesapeake, VA 23321-2154
Phone
(530) 906-3347
NPI assigned
May 27, 2025
Last updated
May 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Erin Malicek
Title
Coo
Phone
(530) 906-3347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

4225 Portsmouth Blvd Ste B
Chesapeake, VA 23321-2154

Mailing address

4225 Portsmouth Blvd Ste B
Chesapeake, VA 23321-2154
Phone (530) 906-3347

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1942093620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 PORTSMOUTH BLVD STE B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212154",
            "telephone_number": "530-906-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 PORTSMOUTH BLVD STE B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212154",
            "telephone_number": "530-906-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC THERAPY AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "MALICEK",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "530-906-3347"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.