| Churchland Psychological Center | |
|
3210 Churchland Blvd. Suite 4 Chesapeake VA 23321 | |
| (757) 483-3404 | |
| (757) 483-0461 |
| Full Name | Churchland Psychological Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3210 Churchland Blvd., Chesapeake, Virginia |
| Authorized Official Name and Position | Julie Vangosen (OFFICE MANAGER) |
| Authorized Official Contact | 7574833404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Churchland Psychological Center 3210 Churchland Blvd. Suite 4 Chesapeake VA 23321 Ph: (757) 483-3404 | Churchland Psychological Center 3210 Churchland Blvd. Suite 4 Chesapeake VA 23321 Ph: (757) 483-3404 |
| NPI Number | 1770677288 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1355314170 |
|---|---|
| Medicare Enrollment ID | O20040818001010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770677288 | NPI | - | NPPES |
| Provider Name | Catherine D Smithson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326050576 PECOS PAC ID: 0648245266 Enrollment ID: I20040827000672 |
| Provider Name | Thomas J Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972565869 PECOS PAC ID: 3870562069 Enrollment ID: I20040924000646 |
| Provider Name | Lauri A Kern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528021193 PECOS PAC ID: 5698752673 Enrollment ID: I20070227000303 |
| Provider Name | Danielle Elizabeth Mcneill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396849337 PECOS PAC ID: 8022174622 Enrollment ID: I20090305000750 |
| Provider Name | Paul F Dell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104826635 PECOS PAC ID: 8123184645 Enrollment ID: I20090309000520 |
| Provider Name | Susan M Asprey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306809801 PECOS PAC ID: 8628135571 Enrollment ID: I20090320000591 |
| Provider Name | Betsy M Sanders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952543662 PECOS PAC ID: 8820149883 Enrollment ID: I20090702000260 |
| Provider Name | Sara A Litt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679651806 PECOS PAC ID: 4082785209 Enrollment ID: I20100713000200 |
| Provider Name | Raleigh Chester Phillips |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184673667 PECOS PAC ID: 9234254525 Enrollment ID: I20100909000814 |
| Provider Name | Jody J Alperin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134185705 PECOS PAC ID: 5193918746 Enrollment ID: I20101015000274 |
| Provider Name | Michael S Weissman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699743203 PECOS PAC ID: 1951323500 Enrollment ID: I20101015000354 |
| Provider Name | Margaret Ray Lidstrom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053351387 PECOS PAC ID: 0941477913 Enrollment ID: I20120113000407 |
| Provider Name | Shoshana R Lewin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932286044 PECOS PAC ID: 8820309669 Enrollment ID: I20150619000644 |
| Provider Name | Amy M Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477947265 PECOS PAC ID: 0941513493 Enrollment ID: I20150713003060 |
| Provider Name | Phillip Riddick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801272208 PECOS PAC ID: 3173811601 Enrollment ID: I20161014001925 |
| Provider Name | John Michael Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538576764 PECOS PAC ID: 9638446453 Enrollment ID: I20170530000584 |
| Provider Name | Denise Keeley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881052736 PECOS PAC ID: 7911273818 Enrollment ID: I20171020000760 |
| Provider Name | Malka Rudin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043651656 PECOS PAC ID: 4183983794 Enrollment ID: I20180104001467 |
| Provider Name | Jennifer Hart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326674045 PECOS PAC ID: 8628490778 Enrollment ID: I20200619000411 |
| Provider Name | Michelle Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003432949 PECOS PAC ID: 3577988096 Enrollment ID: I20200730003857 |
| Provider Name | Cynthia G Holshoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235295312 PECOS PAC ID: 4486758026 Enrollment ID: I20221108003429 |
| Provider Name | Brittany Zharnest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417603705 PECOS PAC ID: 8426423419 Enrollment ID: I20230404002864 |
| Provider Name | Jeanne B Burger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073506564 PECOS PAC ID: 1850743188 Enrollment ID: I20240123000050 |
| Provider Name | Muriel M Ricker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518172147 PECOS PAC ID: 7315383775 Enrollment ID: I20240308000384 |
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