PENINSULA PEDIATRIC PSYCHIATRY NPI 1982776902

NPI Information

  • NPI: 1982776902
  • Provider Name: PENINSULA PEDIATRIC PSYCHIATRY
  • Classification: Psychologist - 103TC2200X
  • Specialization: Clinical Child & Adolescent
  • Entity Type: Organization
  • Address: 12350 JEFFERSON AVE
    SUITE 190
    NEWPORT NEWS, VA
    ZIP 23602
  • Phone: (757) 881-9444

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NPI Details

PENINSULA PEDIATRIC PSYCHIATRY is a clinical child and adolescent psychologist in Newport News, VA. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. PENINSULA PEDIATRIC PSYCHIATRY NPI is 1982776902. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12350 JEFFERSON AVE
SUITE 190
NEWPORT NEWS, VA
ZIP 23602-951
Phone: (757) 881-9444

The provider's authorized official is Julie B Trice .
The authorized official title is President and has the following contact phone number (757) 593-6792.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 6/7/2008.

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
11041C0700XSocial WorkerClinical05092005VIRGINIANo
2103TC2200XPsychologistClinical Child & Adolescent0101230611VIRGINIAYes

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
1C09987MEDICARE PINVIRGINIA

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: 11/21/2025

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