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SPECTRUM PSYCHOLOGICAL SERVICES
NPI 1114002581
Psychologist - Clinical Child & Adolescent in Virginia Beach, VA

Active since October 26, 2006
1020 INDEPENDENCE BLVD, SUITE 204, VIRGINIA BEACH, VA 23455(757) 640-1882(757) 640-0253 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Spectrum Psychological Services NPPES

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

SPECTRUM PSYCHOLOGICAL SERVICES (NPI 1114002581) is a healthcare organization registered as a clinical child & adolescent in Virginia Beach, Virginia and active in the NPI registry since October 2006. The organization lists Carl Richard Ellis, Owner, as its authorized official.

NPPES Registry Identity

NPI1114002581
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NameCARL R. ELLIS
Location Address1020 INDEPENDENCE BLVD, SUITE 204Virginia Beach, VA 23455-5500
Mailing Address1020 Independence Blvd, Suite 204Virginia Beach, VA 23455-5500 · (757) 640-1882 · Fax (757) 640-0253
Phone(757) 640-1882
Fax(757) 640-0253
Organization SubpartNo
Authorized OfficialCarl Richard EllisOwner · (757) 640-1882
Enumeration DateOctober 26, 2006
Last NPPES UpdateSeptember 4, 2012
✔ NPI 1114002581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in VA · 0810001913
Definition

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.

1020 INDEPENDENCE BLVD, Virginia Beach, VA 23455
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Other Names 1

Doing Business AsSpectrum Psychological Services

Other Identifiers 3

Medicaid007700580VA
Other260026000VA · Optima Health
Medicare ID-Type Unspecified680001404VA

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DOUGLAS R SCHREIBER M.D.
Orthopaedic Surgery
1020 INDEPENDENCE BLVD, SUITE 306
VIGINIA BEACH, VA 23455
Virginia Beach City (757) 460-1144
VERA GOODE MD
Internal Medicine
1020 INDEPENDENCE BLVD, SUITE 103
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 363-1000
MRS. JEANNIE HA COLE PA
Physician Assistant (Medical)
1020 INDEPENDENCE BLVD, SUITE 110
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 464-1644
DR. MARY OLIVE GRAHAM M.D.
Family Medicine
1020 INDEPENDENCE BLVD, SUITE 103
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 460-2171
DR. SUHAS L DESHMUKH M.D.
Internal Medicine (Gastroenterology)
1020 INDEPENDENCE BLVD, SUITE 110
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 464-1644
EDITH J COHEN MD
Internal Medicine
1020 INDEPENDENCE BLVD, SUITE 202
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 464-6944
CHESAPEAKE BAY CARDIOLOGY, P. C.
Internal Medicine (Cardiovascular Disease)
1020 INDEPENDENCE BLVD, SUITE 102
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 464-5707
MRS. SAILEELA VENKATESAN MD
Pediatrics
1020 INDEPENDENCE BLVD, STE 105
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 460-5521

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 Carl R. Ellis's NPI number?

The NPI number for Carl R. Ellis is 1114002581. It was assigned to this organization in the NPPES registry on October 26, 2006. The provider is doing business as Spectrum Psychological Services.

Where is Carl R. Ellis located?

Carl R. Ellis is located at 1020 Independence Blvd Suite 204, Virginia Beach, VA 23455. The listed phone number is (757) 640-1882.

What is Carl R. Ellis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Carl R. Ellis was last updated on September 4, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.