Active NPI
Verdon PC
- Clinical Psychologist
- Virginia Beach, VA
National Provider Identifier
1942579693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810002194
- Legal business name
- VERDON PC
- Practice address
- 3091 Brickhouse CT
Virginia Beach, VA 23452-6860 - Phone
- (757) 557-6328
- NPI assigned
- Dec 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniele P McNeill, PH.D.
- Title
- Owner
- Phone
- (757) 340-2712
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810002194 | VA | Primary |
Addresses
Primary practice location
3091 Brickhouse CT
Virginia Beach, VA 23452-6860
Mailing address
729 Trio LN
Virginia Beach, VA 23452-5931
Phone (757) 340-2712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3091 Brickhouse Ct
Virginia Beach, VA 23452
Phone (757) 271-3101
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Virginia Beach, VA
- NPI 1396849337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324944000000",
"number": "1942579693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "729 TRIO LN",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234525931",
"telephone_number": "757-340-2712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3091 BRICKHOUSE CT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234526860",
"telephone_number": "757-557-6328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERDON PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-27",
"last_updated": "2011-12-27",
"status": "A",
"authorized_official_last_name": "MCNEILL",
"authorized_official_first_name": "DANIELE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-340-2712",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810002194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.