| City Of Chesapeake | |
|
224 Great Bridge Blvd Chesapeake Community Services Board Chesapeake VA 23320-3904 | |
| (757) 547-9334 | |
| (757) 819-6292 |
| Full Name | City Of Chesapeake |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 224 Great Bridge Blvd, Chesapeake, Virginia |
| Authorized Official Name and Position | Lisa A Vanlandingham (FISCAL ADMINISTRATOR) |
| Authorized Official Contact | 7575479334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of Chesapeake 224 Great Bridge Blvd Chesapeake VA 23320-3904 Ph: (757) 547-9334 | City Of Chesapeake 224 Great Bridge Blvd Chesapeake Community Services Board Chesapeake VA 23320-3904 Ph: (757) 547-9334 |
| NPI Number | 1073650099 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 03/15/2018 |
| Medicare PECOS PAC ID | 6204885601 |
|---|---|
| Medicare Enrollment ID | O20050112000805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073650099 | NPI | - | NPPES |
| IG007273 | Other | VA | MAGELLEAN AGENCY NUMBER |
| 1073650099 | Medicaid | VA | |
| 083100 | Other | VA | SENTARA/OPTIMA |
| IG007273 | Other | VA | FEDERAL HEALTH NET |
| 250277 | Other | VA | ANTHEM TRIGON |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 141 16 001 (Virginia) | Primary |
| 252Y00000X | Early Intervention Provider Agency | 141 (Virginia) | Secondary |
| Provider Name | Cindy Sherwood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073527214 PECOS PAC ID: 4688662224 Enrollment ID: I20040503001713 |
| Provider Name | Ritu Chahil-miglani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205893054 PECOS PAC ID: 3779565304 Enrollment ID: I20040607000267 |
| Provider Name | Robert P Pitsenbarger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063590172 PECOS PAC ID: 3870539646 Enrollment ID: I20050701000159 |
| Provider Name | Ingrid Schmedtje |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558410761 PECOS PAC ID: 3072545136 Enrollment ID: I20050909000189 |
| Provider Name | Douglas G Morin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447245543 PECOS PAC ID: 3072534726 Enrollment ID: I20051209000575 |
| Provider Name | Curtis R Bryan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427050087 PECOS PAC ID: 9739129461 Enrollment ID: I20060217000449 |
| Provider Name | Veronica Jeanne Matthews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073705521 PECOS PAC ID: 9133204860 Enrollment ID: I20080324000508 |
| Provider Name | Tiffiney Smith Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932487956 PECOS PAC ID: 8426227240 Enrollment ID: I20110812000335 |
| Provider Name | Ewa Gaddis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801871959 PECOS PAC ID: 3274796297 Enrollment ID: I20120531000155 |
| Provider Name | Kathleen L White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629370432 PECOS PAC ID: 5092966333 Enrollment ID: I20121113000668 |
| Provider Name | Jennifer L Melillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629139878 PECOS PAC ID: 9638300254 Enrollment ID: I20140624001339 |
| Provider Name | Patricia M Hartigan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033521216 PECOS PAC ID: 6204052079 Enrollment ID: I20140731000787 |
| Provider Name | Pamela D Byrnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407262298 PECOS PAC ID: 4284956574 Enrollment ID: I20141121001725 |
| Provider Name | Justin T Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093013641 PECOS PAC ID: 8224350079 Enrollment ID: I20141204002083 |
| Provider Name | Patricia J Grogan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558480665 PECOS PAC ID: 2860704053 Enrollment ID: I20150630002622 |
| Provider Name | Venitta R Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124368691 PECOS PAC ID: 5496055519 Enrollment ID: I20151121000302 |
| Provider Name | Ledro Justice |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306948526 PECOS PAC ID: 3779477526 Enrollment ID: I20160212001609 |
| Provider Name | Thaddeus M Garland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336447697 PECOS PAC ID: 8022287903 Enrollment ID: I20170131001378 |
| Provider Name | Sirajul Hasan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144561499 PECOS PAC ID: 5597053504 Enrollment ID: I20170316001838 |
| Provider Name | Nicholas T Kaniuka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215396049 PECOS PAC ID: 1850667700 Enrollment ID: I20171021000062 |
| Provider Name | Tracie B Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477787026 PECOS PAC ID: 3870747132 Enrollment ID: I20171211000246 |
| Provider Name | Poweielatei M Nkengla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578065256 PECOS PAC ID: 0749544989 Enrollment ID: I20180516000053 |
| Provider Name | Nichelle N Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427368000 PECOS PAC ID: 4981905387 Enrollment ID: I20180716001008 |
| Provider Name | Renata Jamison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043724602 PECOS PAC ID: 5698022234 Enrollment ID: I20180727001084 |
| Provider Name | Alondra Ayala Jimenez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023369170 PECOS PAC ID: 0840562476 Enrollment ID: I20180904000066 |
| Provider Name | Farah T Rahiem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811131303 PECOS PAC ID: 1658681622 Enrollment ID: I20180905003721 |
| Provider Name | Janet Miller Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457858607 PECOS PAC ID: 6800136037 Enrollment ID: I20190325002212 |
| Provider Name | Saphia Beckles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720530918 PECOS PAC ID: 2264718568 Enrollment ID: I20190903002791 |
| Provider Name | Tiffany N Jefferson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467014944 PECOS PAC ID: 8729310776 Enrollment ID: I20191024002447 |
| Provider Name | Sharen E Orso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245488089 PECOS PAC ID: 6002870649 Enrollment ID: I20191231000822 |
| Provider Name | Marina L Falvo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245508043 PECOS PAC ID: 3779918164 Enrollment ID: I20200113001260 |
| Provider Name | Sherry K Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992956171 PECOS PAC ID: 9234300658 Enrollment ID: I20200311002573 |
| Provider Name | Demetrous J Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407460413 PECOS PAC ID: 4082026125 Enrollment ID: I20201215002067 |
| Provider Name | Jacquelyn M Feliciano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023637394 PECOS PAC ID: 9133534860 Enrollment ID: I20210210002667 |
| Provider Name | Ruth A Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124412283 PECOS PAC ID: 6204107857 Enrollment ID: I20220322001008 |
| Provider Name | Nancy C Quist |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871030080 PECOS PAC ID: 4385915453 Enrollment ID: I20220324001339 |
| Provider Name | Justin C Kolaya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023761160 PECOS PAC ID: 5395130470 Enrollment ID: I20220329000047 |
| Provider Name | Christopher D White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194926170 PECOS PAC ID: 0446404412 Enrollment ID: I20220801001435 |
| Provider Name | Jamie L Deputy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053851436 PECOS PAC ID: 4688949506 Enrollment ID: I20221006000593 |
| Provider Name | Alfredo J Soto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841308632 PECOS PAC ID: 4688638422 Enrollment ID: I20221205000006 |
| Provider Name | Linda M Bleecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245288554 PECOS PAC ID: 9739128257 Enrollment ID: I20230113002534 |
| Provider Name | Kenneth E Tepe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760411441 PECOS PAC ID: 5294706560 Enrollment ID: I20230215000082 |
| Provider Name | Alejandra Herrera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528846599 PECOS PAC ID: 7416307830 Enrollment ID: I20231228000204 |
| Provider Name | Andrea Galbo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053987636 PECOS PAC ID: 8820448186 Enrollment ID: I20231228001925 |
| Provider Name | Arthur Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700959095 PECOS PAC ID: 0042660201 Enrollment ID: I20231229002077 |
| Provider Name | Ashley Phillips |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639710908 PECOS PAC ID: 4688025661 Enrollment ID: I20240104001548 |
| Provider Name | Thomas Richardson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609439363 PECOS PAC ID: 0749631281 Enrollment ID: I20240109001497 |
| Provider Name | Tiffany Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003476839 PECOS PAC ID: 3971954421 Enrollment ID: I20240109001747 |
| Provider Name | Lisette Bennett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952887952 PECOS PAC ID: 2466803911 Enrollment ID: I20240109001948 |
| Provider Name | Michele Clark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326326729 PECOS PAC ID: 7810348182 Enrollment ID: I20240111000329 |
| Provider Name | Sonya Jimerson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881250983 PECOS PAC ID: 3577914753 Enrollment ID: I20240111004837 |
| Provider Name | Sara Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366972416 PECOS PAC ID: 6204287485 Enrollment ID: I20240111004853 |
| Provider Name | Jennifer Modica |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629545066 PECOS PAC ID: 2961845045 Enrollment ID: I20240206000697 |
| Provider Name | Jessica Chinnici |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881124394 PECOS PAC ID: 2961846118 Enrollment ID: I20240311002752 |
Covenant Way Clinical Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1545 Crossways Blvd, Chesapeake, VA 23320 Phone: 757-606-0971 | |
The Mule Group Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 Juniper Cres Ste 112, Chesapeake, VA 23320 Phone: 757-762-1831 | |
Miles Family Therapeutics Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 908 Kemp Xing, Chesapeake, VA 23320 Phone: 757-770-6360 | |
Innovative Counseling Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 Great Bridge Blvd, Chesapeake, VA 23320 Phone: 757-842-0542 | |
Pl Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 Sun Ave, Chesapeake, VA 23325 Phone: 757-264-1033 | |
All About You Residential Care, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 529 Cameo Ter, Chesapeake, VA 23320 Phone: 757-277-6586 | |
Hampton Roads Family Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1226 Progressive Dr Ste 202, Chesapeake, VA 23320 Phone: 631-291-8033 |