Unknown Individual – Child & Adolescent Psychiatry Physician, NPI 1275760399
Child & Adolescent Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2128, Brodeur Lane, Bellwood Estates, Virginia Beach, Virginia, 23456, United States
VIRGINIA BEACH, VA 234561626
Phone: (757) 870-9073
Type: Mailing
2085 LYNNHAVEN PKWY
STE 106 #558
VIRGINIA BEACH, VA 234561497
Phone:
Type: Mailing
1465 S GRAND BLVD
ST LOUIS, MO 63104
Phone: (757) 778-9073
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23456)
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