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SPECTRUM PSYCHOLOGICAL AND NEUROTHERAPY PC NPI 1407221716


NPI Information

NPI: 1407221716
Provider Name: SPECTRUM PSYCHOLOGICAL AND NEUROTHERAPY PC
Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
4542 BONNEY RD STE B
VIRGINIA BEACH, VA
ZIP 23462
Phone: (757) 640-1882
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SPECTRUM PSYCHOLOGICAL AND NEUROTHERAPY PC is a psychologist in Virginia Beach, VA. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. SPECTRUM PSYCHOLOGICAL AND NEUROTHERAPY PC NPI is 1407221716. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4542 BONNEY RD STE B
VIRGINIA BEACH, VA
ZIP 23462
Phone: (757) 640-1882
Fax: (757) 640-0253

The provider's authorized official is Carl Richard Ellis .
The authorized official title is Owner/ceo and has the following contact phone number (757) 640-1882.

The enumeration date for this NPI number is 12/11/2015 and was last updated on 8/15/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC2200XPsychologistClinical Child & AdolescentNo
21041C0700XSocial WorkerClinicalNo
3103T00000XPsychologistYes

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

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