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NPI · 1104044528 · NPPES-sourced

Lakeside Psychological Center PC

ActivePsychologist
NPI Number
1104044528
Type 2 · Organisation
Taxonomy Code
103T00000X
Contact
(757) 486-0909
License VA · 90801000970
Last Updated
Enumerated
Primary practice addressVA · 23452-6859
3076 Brickhouse CtVirginia Beach, VA 23452-6859
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About this NPIWhat this record shows.

NPI 1104044528 is registered to Lakeside Psychological Center PC, a healthcare organisation classified as "Psychologist" and located at 3076 Brickhouse Ct in Virginia Beach, Virginia. The organisation's authorised official is Theodore Stevens. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 1790811040VA· Issued by NPI
  • 1104044528VA· Issued by CORPORATE NPI

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Lakeside Psychological Center PC accepts. To confirm in-network status with your specific health plan, contact Lakeside Psychological Center PC directly at (757) 486-0909.

Frequently asked

Yes. NPI 1104044528 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (757) 486-0909.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Lakeside Psychological Center PC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy103T00000X
Last updated
Enumerated
StatusActive
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