INDIAN RIVER PSYCHOLOGICAL ASSOCIATES, P.C.
NPI 1316016645
Psychologist - Cognitive & Behavioral in Virginia Beach, VA

Q: What is Indian River Psychological Associates, P.C.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Active since November 08, 2006

6477 COLLEGE PARK SQ, SUITE 302, VIRGINIA BEACH, VA 23464(757) 424-0100(757) 424-5623 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Indian River Psychological Associates, P.c. NPPES

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

INDIAN RIVER PSYCHOLOGICAL ASSOCIATES, P.C. (NPI 1316016645) is a healthcare organization registered as a cognitive & behavioral in Virginia Beach, Virginia and active in the NPI registry since November 2006. The organization lists I. Kimberlee Chucker, President, as its authorized official.

NPPES Registry Identity

NPI1316016645

Entity TypeOrganization

Primary Taxonomy103TB0200X

Legal Business NameINDIAN RIVER PSYCHOLOGICAL ASSOCIATES, P.C.

Location Address6477 COLLEGE PARK SQ, SUITE 302Virginia Beach, VA 23464-3611

Mailing Address6477 College Park Sq, Suite 302Virginia Beach, VA 23464-3611 · (757) 424-0100 · Fax (757) 424-5623

Phone(757) 424-0100

Fax(757) 424-5623

Organization SubpartNo

Authorized OfficialI. Kimberlee ChuckerPresident · (757) 424-0100

Enumeration DateNovember 8, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1316016645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers

Taxonomy Code103TB0200X

Definition

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

6477 COLLEGE PARK SQ, Virginia Beach, VA 23464

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Indian River Psychological Associates, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Indian River Psychological Associates, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Ingrid Chucker, L.C.S.W.

Clinical Social Worker

NPI 1033222518

6477 COLLEGE PARK SQ SUITE 302
Virginia Beach, VA 23464

(757) 424-0100

✔ PECOS✔ Accepts MedicareSame address

Daniel Walter, PSYD

Clinical Psychologist

NPI 1588647283

3300 ACADEMY AVE ACADEMY CROSSING MEDICAL PLAZA
Portsmouth, VA 23703

(757) 483-6404

✔ PECOS✔ Accepts Medicare11 mi

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 Indian River Psychological Associates, P.C.'s NPI number?

The NPI number for Indian River Psychological Associates, P.C. is 1316016645. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is Indian River Psychological Associates, P.C. located?

Indian River Psychological Associates, P.C. is located at 6477 College Park Sq Suite 302, Virginia Beach, VA 23464. The listed phone number is (757) 424-0100.

What is Indian River Psychological Associates, P.C.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Indian River Psychological Associates, P.C. enrolled in Medicare?

Yes. Indian River Psychological Associates, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Indian River Psychological Associates, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Indian River Psychological Associates, P.C., in Clinical Psychologist and Clinical Social Worker. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Indian River Psychological Associates, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.