Organization Active NPI

Virginia Psychological Services PLC

  • Clinical Psychologist
  • Newport News, VA
National Provider Identifier
1962440495
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
VIRGINIA PSYCHOLOGICAL SERVICES PLC
Practice address
732 Thimble Shoals Blvd Ste 705K
Newport News, VA 23606-4256
Phone
(757) 873-4744
Fax
(757) 873-6377
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Authorized official

Name
Dr. Christopher M. Lindemann, PH.D.NPI 1124066519
Title
Psycologist, Owner
Phone
(757) 873-4744

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

732 Thimble Shoals Blvd Ste 705K
Newport News, VA 23606-4256

Mailing address

PO Box 12225
Newport News, VA 23612-2225
Phone (757) 873-4744

Other identifiers 1

IdentifierTypeStateIssuer
007714424MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040219000473 VA Part B Supplier - Clinic/Group Practice 8022903855 Receives reassigned benefits from 1 practitioner
Practice locations: Newport News, VA

National Provider Directory

National Provider Directory

Locations

732 Thimble Shoals Blvd
Ste 705K
Newport News, VA 23606
Phone (757) 873-4744

11835 Canon Blvd
Ste A104
Newport News, VA 23606
Phone (757) 873-4744

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1962440495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12225",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236122225",
            "telephone_number": "757-873-4744",
            "fax_number": "757-873-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 THIMBLE SHOALS BLVD STE 705K",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064256",
            "telephone_number": "757-873-4744",
            "fax_number": "757-873-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA PSYCHOLOGICAL SERVICES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "LINDEMANN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PSYCOLOGIST, OWNER",
        "authorized_official_telephone_number": "757-873-4744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007714424",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.

Verify at the official NPI Registry.