MASTERSON PSYCHOTHERAPY LLC NPI 1013498757

NPI Information

NPI: 1013498757
Provider Name: MASTERSON PSYCHOTHERAPY, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
4445 CORPORATION LN STE 213
VIRGINIA BEACH, VA
ZIP 23462
Phone: (757) 237-2906
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MASTERSON PSYCHOTHERAPY, LLC is an adult mental health clinic center in Virginia Beach, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MASTERSON PSYCHOTHERAPY, LLC NPI is 1013498757. The provider is registered as an organization entity type.

The provider's business location address is:

4445 CORPORATION LN STE 213
VIRGINIA BEACH, VA
ZIP 23462-262
Phone: (757) 237-2906
Fax: (757) 216-9655

The provider's authorized official is Susan Masterson .
The authorized official title is Owner and has the following contact phone number (757) 237-2906.

The enumeration date for this NPI number is 8/21/2018 and was last updated on 4/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	0904006823	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1851552491	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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