| Rock Landing Psychological Group | |
|
11825 Rock Landing Dr James Building Newport News VA 23606-4236 | |
| (757) 587-3183 | |
| (757) 873-1028 |
| Full Name | Rock Landing Psychological Group |
|---|---|
| Speciality | Counselor |
| Location | 11825 Rock Landing Dr, Newport News, Virginia |
| Authorized Official Name and Position | Anne C Aja (MANAGING PARTNER/OWNER) |
| Authorized Official Contact | 7578731835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rock Landing Psychological Group 11825 Rock Landing Dr James Building Newport News VA 23606-4236 Ph: (757) 587-3183 | Rock Landing Psychological Group 11825 Rock Landing Dr James Building Newport News VA 23606-4236 Ph: (757) 587-3183 |
| NPI Number | 1528159183 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1052209954 |
|---|---|
| Medicare Enrollment ID | O20040310000680 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528159183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 101Y00000X (Virginia) | Primary |
| Provider Name | Beatrice A Mills- Desroches |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568524064 PECOS PAC ID: 5991887200 Enrollment ID: I20080125000238 |
| Provider Name | Renee Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700899150 PECOS PAC ID: 5092862748 Enrollment ID: I20090415000133 |
| Provider Name | Harriette Barnes-parker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801004957 PECOS PAC ID: 9638205016 Enrollment ID: I20100325000449 |
| Provider Name | Cheryl Kabana Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659386209 PECOS PAC ID: 9830386655 Enrollment ID: I20101206001146 |
| Provider Name | Kristyn Neidermeyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699764191 PECOS PAC ID: 9436324753 Enrollment ID: I20111214000486 |
| Provider Name | Denise Hall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093724940 PECOS PAC ID: 8628245628 Enrollment ID: I20120113000660 |
| Provider Name | Edward J Whitacre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417965583 PECOS PAC ID: 7113186503 Enrollment ID: I20120305000048 |
| Provider Name | Rabia Jafri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932342482 PECOS PAC ID: 0042453029 Enrollment ID: I20130822000039 |
| Provider Name | Cara R Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932358777 PECOS PAC ID: 9537469754 Enrollment ID: I20151119001992 |
| Provider Name | Bonnie Gail Griffith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225615651 PECOS PAC ID: 3577969815 Enrollment ID: I20210910002692 |
| Provider Name | Marylyn Beeson Bowman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124254990 PECOS PAC ID: 5193173060 Enrollment ID: I20231204000578 |
| Provider Name | Kathryn Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366451809 PECOS PAC ID: 7810333564 Enrollment ID: I20240315002721 |
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