Comprehensive Psychological Services | |
2117 Smith Ave Suite B Chesapeake VA 23320-2519 | |
(757) 547-9007 | |
(757) 786-2805 |
Full Name | Comprehensive Psychological Services |
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Speciality | Counselor |
Location | 2117 Smith Ave, Chesapeake, Virginia |
Authorized Official Name and Position | Robert Velasquez (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 7579373969 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Comprehensive Psychological Services 2117 Smith Ave Suite B Chesapeake VA 23320-2519 Ph: (757) 937-3969 | Comprehensive Psychological Services 2117 Smith Ave Suite B Chesapeake VA 23320-2519 Ph: (757) 547-9007 |
NPI Number | 1598861387 |
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Provider Enumeration Date | 09/16/2006 |
Last Update Date | 03/17/2025 |
Certification Date | 03/17/2025 |
Medicare PECOS PAC ID | 5799753984 |
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Medicare Enrollment ID | O20040924000566 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598861387 | NPI | - | NPPES |
255810000 | Other | VA | MAGELLAN |
0800307 | Other | VA | SENTARA MENTAL HEALTH |
Provider Name | Maria N Amadi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881155109 PECOS PAC ID: 0749699304 Enrollment ID: I20210511002228 |
Provider Name | Frederick L Wilson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1144427196 PECOS PAC ID: 5991065401 Enrollment ID: I20240509001393 |
Provider Name | David M Yasemsky |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1336214360 PECOS PAC ID: 3870035900 Enrollment ID: I20240605000353 |
Provider Name | Hillary B Parks |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1396404596 PECOS PAC ID: 8426590449 Enrollment ID: I20240606000022 |
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