1. Home
  2. Directory
  3. Virginia
  4. Norfolk
  5. Psychologist
  6. NPI Profile

AMAZING STAR GROUP HOME CORPORATION
NPI 1184081739
Psychologist - Health Service in Norfolk, VA

Active since January 26, 2016
861 GLENROCK RD, SUITE 114, NORFOLK, VA 23502(757) 706-2273(757) 893-9266 Get Directions Write a Review

NPPES record last updated: January 26, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amazing Star Group Home Corporation NPPES

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

AMAZING STAR GROUP HOME CORPORATION (NPI 1184081739) is a healthcare organization registered as a health service in Norfolk, Virginia and active in the NPI registry since January 2016. The organization lists David Etute, Pres/ceo, as its authorized official.

NPPES Registry Identity

NPI1184081739
Entity TypeOrganization
Primary Taxonomy103TH0100X
Legal Business NameAMAZING STAR GROUP HOME CORPORATION
Location Address861 GLENROCK RD, SUITE 114Norfolk, VA 23502-3720
Mailing Address861 Glenrock Rd, Suite 114Norfolk, VA 23502-3720 · (757) 706-2273 · Fax (757) 893-9266
Phone(757) 706-2273
Fax(757) 893-9266
Organization SubpartNo
Authorized OfficialDavid EtutePres/ceo · (757) 706-2273
Enumeration DateJanuary 26, 2016
✔ NPI 1184081739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
861 GLENROCK RD, Norfolk, VA 23502
Open in Google Maps ↗

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.

AMAZING STAR HOMES CORPORATION
Licensed Practical Nurse
861 GLENROCK RD, SUITE 114
NORFOLK, VA 23502
Norfolk City (757) 819-3230
APPROVED MEDICAL EQUIPMENT & SUPPLIES
Durable Medical Equipment & Medical Supplies
861 GLENROCK RD, SUITE 114
NORFOLK, VA 23502
Norfolk City (757) 819-3230
ACCESS MEDICAL SUPPLY CORPORATION
Durable Medical Equipment & Medical Supplies
861 GLENROCK RD, SUITE 114
NORFOLK, VA 23502
Norfolk City (757) 729-6603
APPROVED HEALTHCARE CORPORATION
Nursing Care
861 GLENROCK RD, SUITE 114
NORFOLK, VA 23502
Norfolk City (757) 729-6605

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 Amazing Star Group Home Corporation's NPI number?

The NPI number for Amazing Star Group Home Corporation is 1184081739. It was assigned to this organization in the NPPES registry on January 26, 2016.

Where is Amazing Star Group Home Corporation located?

Amazing Star Group Home Corporation is located at 861 Glenrock Rd Suite 114, Norfolk, VA 23502. The listed phone number is (757) 706-2273.

What is Amazing Star Group Home Corporation's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Amazing Star Group Home Corporation was last updated on January 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.