Unknown Individual – Child & Adolescent Psychiatry Physician, NPI 1720040959
Child & Adolescent Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4512, Ocean View Avenue, Chesapeake Beach, Bayside, Virginia Beach, Virginia, 23455, United States
VIRGINIA BEACH, VA 234551433
Phone: (757) 391-6517
Fax: (757) 391-6560
Type: Mailing
825, Crawford Parkway, Park View, Park View Historic District, Portsmouth, Virginia, 23704, United States
PORTSMOUTH, VA 23704
Phone: (757) 391-6517
Fax: (757) 391-6560
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
Source: CMS public data · Not endorsed by CMS ·
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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 23455)
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