REVA K B O'HALLARN
NPI 1255688495
Psychologist - Clinical in Newport News, VA

Active since August 07, 2012
708 MOBJACK PL, NEWPORT NEWS, VA 23606(757) 873-1958(757) 873-2143 Get Directions Write a Review

NPPES record last updated: August 7, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Reva K B O'hallarn NPPES

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

REVA K B O'HALLARN (NPI 1255688495) is a healthcare organization registered as a clinical in Newport News, Virginia and active in the NPI registry since August 2012. The organization lists Reva K B O'hallarn, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1255688495
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameREVA K B O'HALLARN
Location Address708 MOBJACK PLNewport News, VA 23606-1957
Mailing Address708 Mobjack PlNewport News, VA 23606-1957 · (757) 873-1958 · Fax (757) 873-2143
Fax(757) 873-2143
Organization SubpartNo
Authorized OfficialReva K B O'hallarnSole Member · (757) 873-1958
Enumeration DateAugust 7, 2012
✔ NPI 1255688495 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 · 0810003845
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.
708 MOBJACK PL, Newport News, VA 23606

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reva K B O'hallarn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Reva K B O'hallarn, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1427245588
708 MOBJACK PL
Newport News, VA 23606
(757) 873-1958
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Reva K B O'hallarn's NPI number?

The NPI number for Reva K B O'hallarn is 1255688495. It was assigned to this organization in the NPPES registry on August 7, 2012.

Where is Reva K B O'hallarn located?

Reva K B O'hallarn is located at 708 Mobjack Pl, Newport News, VA 23606. The listed phone number is (757) 873-1958.

What is Reva K B O'hallarn's specialty?

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

Is Reva K B O'hallarn enrolled in Medicare?

Yes. Reva K B O'hallarn is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Reva K B O'hallarn?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Reva K B O'hallarn. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Reva K B O'hallarn was last updated on August 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.