SUPPORTIVE CARE OF VIRGINIA LLC – NPI #1801485354
Psychologist

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

SUPPORTIVE CARE OF VIRGINIA LLC is a psychologist located in COLONIAL HEIGHTS, VA. NPPES has assigned the NPI number 1801485354 to SUPPORTIVE CARE OF VIRGINIA LLC on January 11, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 103TC0700X from the Health Care Provider Taxonomy code set, which is classified as Psychologist, specializing in Clinical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUPPORTIVE CARE OF VIRGINIA LLC below.

NPI Profile for
SUPPORTIVE CARE OF VIRGINIA LLC

NPI Number
1801485354
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SUPPORTIVE CARE OF VIRGINIA LLC
Primary location
831 E ELLERSLIE AVE
COLONIAL HEIGHTS, VA 23834-1720
Phone: (718) 298-7345 Fax:
Mailing address
27 RANDOLPH RD
HOWELL, NJ 07731-8611
Phone: (718) 298-4375 Fax:
Organization Subpart
No
Authorized Official
RAPHAEL LICHTSCHEIN
PRESIDENT
Phone: (718) 298-4375
Updated
Certification Date
Jan 11, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
103TC0700X
- Psychologist / Clinical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.