MATHIAS CARPENTER SOUCEK PSYD
NPI 1174242689
Psychologist - Clinical in Chesapeake, VA

Q: What is Mathias Soucek's NPI number?

The NPI number for Mathias Soucek is 1174242689. It was assigned to this individual provider in the NPPES registry on August 26, 2022.

Q: What is Mathias Soucek's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Mathias Soucek was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 26, 2022

1210 PROGRESSIVE DR STE 101, CHESAPEAKE, VA 23320(757) 386-4578(757) 386-4604 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mathias Carpenter Soucek Psyd NPPES

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

MATHIAS CARPENTER SOUCEK PSYD (NPI 1174242689) is an individual clinical provider in Chesapeake, Virginia, licensed in Virginia (0810007899) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1174242689

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMATHIAS CARPENTER SOUCEKCredential: PSYD

Location Address1210 PROGRESSIVE DR STE 101Chesapeake, VA 23320-2849

Mailing Address1210 Progressive Dr Ste 101Chesapeake, VA 23320-2849 · (757) 386-4578 · Fax (757) 386-4604

Phone(757) 386-4578

Fax(757) 386-4604

Sole ProprietorYes

Enumeration DateAugust 26, 2022

NPPES CertifiedAugust 26, 2022

✔ NPI 1174242689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810007899

Definition

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.

1210 PROGRESSIVE DR STE 101, Chesapeake, VA 23320

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Other Providers at the Same Location NPPES 7

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

JESSICA GREGORY NP

Nurse Practitioner (Family)