NEUROPSYCHOLOGICAL SERVICES OF TIDEWATER, LLC (NPI# 1366956096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366956096 |
| Entity Type | Organization |
| Organization Name | NEUROPSYCHOLOGICAL SERVICES OF TIDEWATER, LLC |
| Practice Address |
2005 Pleasure House Rd Virginia Beach VA 23455 |
| Mailing Address |
2005 Pleasure House Rd Virginia Beach VA 23455-2709 |
| Practice Telephone | 7573012248 |
| Practice Fax Number | 7576898378 |
| Mailing Telephone | 7573012248 |
| Mailing Fax Number | 7576898378 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2019-03-01 |
| Authorized Official Name | DR. JAMIE DUCHARME (CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Telephone | 7573012248 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 103G00000X | Clinical Neuropsychologist | 0810004265 | VA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 575 Lynnhaven Pkwy Ste 278, Virginia Beach, VA 234527476 | 7573012248 |
| Street Address |
2005 PLEASURE HOUSE RD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659533610 | Jamie Ducharme | Clinical Neuropsychologist | 2005 Pleasure House Rd, Virginia Beach, VA 23455 | 2008-06-30 |
| 1851992333 | Beach Neuropsychology Services LLC | Community/Behavioral Health | 2005 Pleasure House Rd, Virginia Beach, VA 23455-2709 | 2020-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324162 | Evoscient Gynecology Center for Pelvic Health and Surgery, PC | Obstetrics & Gynecology | 108 Independence Blvd, Suite 162, Virginia Beach, VA 23455 | 2020-07-24 |
| 1942728571 | Delois L Dillard | Occupational Therapy Assistant | 4225 Shore Drive, Virginia Beach, VA 23455 | 2017-09-04 |
| 1295255404 | Unobs Medical Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5812 Tajo Avenue, Virginia Beach, VA 23455 | 2017-06-20 |
| 1831640812 | Wearefit | Dietitian, Registered | 4752 Hollis Road, Virginia Beach, VA 23455 | 2016-10-14 |
| 1629496633 | Jamie Lauren Dermatis | Podiatrist | 1700 Pleasure Road, #101, Virginia Beach, VA 23455 | 2014-04-07 |
| 1619304664 | Syed A Absar | Pharmacist | 4828 Lake Bradford Lane, Virginia Beach, VA 23455 | 2013-10-07 |
| 1851734958 | Cara K Richardson | Occupational Therapist | 2364 Madison Ave., Virginia Beach, VA 23455 | 2013-04-09 |
| 1811249287 | Chl & Associates | Nurse Practitioner | 1367 Sir Richard Rd, Virginia Beach, VA 23455 | 2012-10-10 |
| 1588915425 | Edward S Wilson | Physician Assistant | 604 Bishop Dr, Virginia Beach, VA 23455 | 2012-10-01 |
| 1073886842 | April Gilbrech | Registered Nurse | 1103 Canopy Ct, Virginia Beach, VA 23455 | 2012-02-09 |
| Find all providers in zip 23455 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891118808 | Stephanie Nevin | Clinical Neuropsychologist | 1206 Laskin Rd Ste 201g, Virginia Beach, VA 23451-5263 | 2014-01-27 |
| 1659533610 | Jamie Ducharme | Clinical Neuropsychologist | 2005 Pleasure House Rd, Virginia Beach, VA 23455 | 2008-06-30 |
| 1982718284 | Hampton Roads Neuropsychology | Clinical Neuropsychologist | 1604 Hilltop West Executive Center, Suite 216, Virginia Beach, VA 23451 | 2006-08-17 |
| 1679520092 | Scott Willard Sautter | Clinical Neuropsychologist | 1604 Hilltop West Ctr Ste 216, Virginia Beach, VA 23451-6131 | 2006-05-30 |
| 1225589815 | Marsden & Associates, LLC. | Clinical Neuropsychologist | 4551 Professional Cir Ste 102, Virginia Beach, VA 23455-6442 | 2016-10-18 |
| 1912393794 | Anna S Ord | Clinical Neuropsychologist | 1604 Hilltop West Executive Center, Suite 216, Virginia Beach, VA 23451 | 2015-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008492 | Nicole N Hashemian | Clinical Neuropsychologist | 3040 Williams Dr Ste 402, Fairfax, VA 22031-4618 | 2020-09-18 |
| 1447877527 | Sabrina Kate Jennings | Clinical Neuropsychologist | 8100 Innovation Park Dr, Fairfax, VA 22031-4870 | 2020-07-06 |
| 1831710755 | Reston Precision Neuropsychology LLC | Clinical Neuropsychologist | 441-d Carlisle Dr., Suite 103, Herndon, VA 20170-4802 | 2020-05-01 |
| 1841848504 | Dr Vivian Begali Lcp Facpn Abn Abpp LLC | Clinical Neuropsychologist | 9327 Midlothian Tpke Ste 1c, North Chesterfield, VA 23235-4965 | 2019-08-27 |
| 1528527140 | Natalia Lugina Mauranne | Clinical Neuropsychologist | 441d Carlisle Dr., Suite 103, Herndon, VA 20170-4802 | 2019-03-13 |
| 1518434604 | Jessica Isabel Alva | Clinical Neuropsychologist | 12735 Inverness Way, Woodbridge, VA 22192-5038 | 2018-10-27 |
| 1447746383 | Hilary Caroline Goetz | Clinical Neuropsychologist | 8505 Arlington Blvd Ste 450, Fairfax, VA 22031-4630 | 2018-07-03 |
| 1851801708 | William David Crews Jr. | Clinical Neuropsychologist | 118 Dreaming Creek Dr, Lynchburg, VA 24502-2735 | 2017-10-05 |
| 1306360425 | Nacmed | Clinical Neuropsychologist | 90 Chatham Heights Rd, Fredericksburg, VA 22405-2566 | 2017-07-31 |
| 1003330408 | Cognitive Consults and Technology LLC | Clinical Neuropsychologist | 3020 Hamaker Court, Suite 103, Neuropsychology Associates of Fairfax, Fairfax, VA 22031 | 2017-07-28 |
| Find all providers with the same taxonomy | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23455 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.