Specialized Psychological Services

LBN: Specialized Psychological Services
Specialized Psychological Services is an health care organization with primary practice located at 5821 Staples Mill Rd , Richmond VA 23228-5427. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Specialized Psychological Services can be contacted via phone (804) 264-0966, or through Wert, Laura Egerton via phone (804) 264-0966.

Contact Information

Primary practice address
5821 Staples Mill Rd Richmond VA 23228-5427
Fax: (804) 264-1029
Website:
Authorized official contact:
Name: Wert, Laura Egerton PH.D.

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810001671 Virginia

Profile Details

NPI number 1497708374
LBN Legal business name Specialized Psychological Services
DBA Doing business as
Authorized official Wert, Laura Egerton PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Jun 16th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497708374 NPPES
Virginia Other 002529 VALUE OPTIONS
Virginia Other 081163 VALUE OPTIONS
Virginia MEDICAID 007712332 VALUE OPTIONS
Virginia Other 414195 VALUE OPTIONS
Virginia Other 453170 VALUE OPTIONS

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