LAKESIDE PSYCHOLOGICAL CENTER PC
NPI 1104044528
Psychologist in Virginia Beach, VA

Active since April 23, 2007
3076 BRICKHOUSE CT, VIRGINIA BEACH, VA 23452(757) 486-0909(757) 340-7518 Get Directions Write a Review

NPPES record last updated: September 1, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeside Psychological Center Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE PSYCHOLOGICAL CENTER PC (NPI 1104044528) is a healthcare organization registered as a psychologist in Virginia Beach, Virginia and active in the NPI registry since April 2007. The organization lists Theodore M Stevens, President, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1104044528
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameLAKESIDE PSYCHOLOGICAL CENTER PC
Location Address3076 BRICKHOUSE CTVirginia Beach, VA 23452-6859
Mailing Address3076 Brickhouse CtVirginia Beach, VA 23452-6859 · (757) 486-0909 · Fax (757) 340-7518
Fax(757) 340-7518
Organization SubpartNo
Authorized OfficialTheodore M StevensPresident, Psychologist · (757) 486-0909
Enumeration DateApril 23, 2007
Last NPPES UpdateSeptember 1, 2010
NPI 1104044528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in VA · 90801000970
Definition
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.
3076 BRICKHOUSE CT, Virginia Beach, VA 23452

Other Identifiers 3

Other1104044528VA · Corporate Npi
Medicare UPIN62000201
Other1790811040VA · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
3076 BRICKHOUSE CT
VIRGINIA BEACH, VA 23452
Psychiatry & Neurology (Psychiatry)
3076 BRICKHOUSE CT
VIRGINIA BEACH, VA 23452
Psychologist (Clinical)
3076 BRICKHOUSE CT
VIRGINIA BEACH, VA 23452
Social Worker (Clinical)
3076 BRICKHOUSE CT
VIRGINIA BEACH, VA 23452

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Psychological Center PC's NPI number?

The NPI number for Lakeside Psychological Center PC is 1104044528. It was assigned to this organization in the NPPES registry on April 23, 2007.

Where is Lakeside Psychological Center PC located?

Lakeside Psychological Center PC is located at 3076 Brickhouse Ct, Virginia Beach, VA 23452. The listed phone number is (757) 486-0909.

What is Lakeside Psychological Center PC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Lakeside Psychological Center PC was last updated on September 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.