NPIMap

Organization Active NPI

Alicia's Place

  • Psychologist
  • Chesapeake, VA
National Provider Identifier
1952870396
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ALICIA'S PLACE
Doing business as
Alicia's Place
Practice address
500 Mill Stone Rd
Chesapeake, VA 23322-4367
Phone
(301) 351-7257
Fax
(757) 389-5540
NPI assigned
Nov 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Authorized official

Name
Dr. Alicia Meyer, PHDNPI 1497036263
Title
Executive Director
Phone
(301) 351-7257

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)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

500 Mill Stone Rd
Chesapeake, VA 23322-4367

Mailing address

500 Mill Stone Rd
Chesapeake, VA 23322-4367
Phone (301) 351-7257

Other identifiers 1

IdentifierTypeStateIssuer
601103617MedicaidVA

Other names 1

  • Alicia's Place Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1952870396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MILL STONE RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224367",
            "telephone_number": "301-351-7257",
            "fax_number": "757-389-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MILL STONE RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224367",
            "telephone_number": "301-351-7257",
            "fax_number": "757-389-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICIA'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-351-7257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601103617",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alicia's Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 14, 2018; 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.