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WESTERN TIDEWATER COMMUNITY MENTAL
NPI 1164944740
Non-emergency Medical Transport (VAN) in Suffolk, VA

Active since July 14, 2017
5268 GODWIN BLVD, SUFFOLK, VA 23434(757) 255-7117(757) 255-7139 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2026, Jul 14, 2017 (2 updates tracked since 2017).

About Western Tidewater Community Mental NPPES

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

WESTERN TIDEWATER COMMUNITY MENTAL (NPI 1164944740) is a healthcare organization registered as a non-emergency medical transport (van) in Suffolk, Virginia and active in the NPI registry since July 2017. The organization lists Andrew F Jurewicz, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1164944740
Entity TypeOrganization
Primary Taxonomy343900000X
Legal Business NameWESTERN TIDEWATER COMMUNITY MENTAL
Location Address5268 GODWIN BLVDSuffolk, VA 23434-8114
Mailing Address7025 Harbour View Blvd Ste 119Suffolk, VA 23435-2762 · (757) 966-2805 · Fax (757) 673-2586
Phone(757) 255-7117
Fax(757) 255-7139
Organization SubpartNo
Authorized OfficialAndrew F JurewiczFinance Director · (757) 966-2805
Enumeration DateJuly 14, 2017
Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1164944740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services
Taxonomy Code343900000X
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
5268 GODWIN BLVD, Suffolk, VA 23434
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Other Providers at the Same Location NPPES 14

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

LUCIANNE W WARREN LCSW
Counselor (Mental Health)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-7117
DR. SHERONDA FARROW PH.D.
Psychologist (Clinical)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-7113
MISS SHACONDA LARECE HOLLOWAY L.C.S.W.
Social Worker (Clinical)
5268 GODWIN BLVD, WESTERN TIDEWATER MENTAL HEALTH
SUFFOLK, VA 23434
Suffolk City (757) 255-7117
WESTERN TIDEWATER COMMUNITY SERVICES BOARD
Clinic/Center (Adolescent and Children Mental Health)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-7100
MR. DEMETRIOS N PERATSAKIS PD, MS, LPC
Counselor (Professional)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-7126
TIFFANY FOX, FOX
Social Worker (Clinical)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-7133
BERNADETTE DENISE WARD LPC
Counselor (Professional)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-7107
MS. PATRICIA RAE THORNES LPC
Counselor (Professional)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-2662

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 Western Tidewater Community Mental's NPI number?

The NPI number for Western Tidewater Community Mental is 1164944740. It was assigned to this organization in the NPPES registry on July 14, 2017.

Where is Western Tidewater Community Mental located?

Western Tidewater Community Mental is located at 5268 Godwin Blvd, Suffolk, VA 23434. The listed phone number is (757) 255-7117.

What is Western Tidewater Community Mental's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

When was this NPI record last updated?

The NPPES record for Western Tidewater Community Mental was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.