NEUROPSYCHOLOGICAL SERVICES OF TIDEWATER, LLC
NPI 1366956096
Clinical Neuropsychologist in Virginia Beach, VA

Q: What is Neuropsychological Services Of Tidewater, LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since November 16, 2017

2005 PLEASURE HOUSE RD, VIRGINIA BEACH, VA 23455(757) 301-2248(757) 689-8378 Get Directions Write a Review

NPPES record last updated: March 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 1, 2019, Dec 11, 2017, Nov 16, 2017 (3 updates tracked since 2017).

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About Neuropsychological Services Of Tidewater, Llc NPPES

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

NEUROPSYCHOLOGICAL SERVICES OF TIDEWATER, LLC (NPI 1366956096) is a healthcare organization registered as a clinical neuropsychologist in Virginia Beach, Virginia and active in the NPI registry since November 2017. The organization maintains a secondary practice location in Virginia Beach and lists Jamie Ducharme, Clinical Neuropsychologist, as its authorized official.

NPPES Registry Identity

NPI1366956096

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameNEUROPSYCHOLOGICAL SERVICES OF TIDEWATER, LLC

Location Address2005 PLEASURE HOUSE RDVirginia Beach, VA 23455

Mailing Address2005 Pleasure House RdVirginia Beach, VA 23455-2709 · (757) 301-2248 · Fax (757) 689-8378

Phone(757) 301-2248

Fax(757) 689-8378

Organization SubpartNo

Authorized OfficialJamie DucharmeClinical Neuropsychologist · (757) 301-2248

Enumeration DateNovember 16, 2017

Last NPPES UpdateMarch 1, 20193 updates tracked since enumeration

✔ NPI 1366956096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in VA · 0810004265

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

2005 PLEASURE HOUSE RD, Virginia Beach, VA 23455

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Secondary Practice Location 1

Location 1575 Lynnhaven Pkwy Ste 278Virginia Beach, VA 23452-7476 · Phone (757) 301-2248

Other Providers at the Same Location NPPES 2

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

ELIZABETH R JENKS PSYD

Psychologist (Clinical)

2005 PLEASURE HOUSE RD
VIRGINIA BEACH, VA 23455

Virginia Beach City (757) 301-2248

DR. JAMIE DUCHARME PHD

Clinical Neuropsychologist

2005 PLEASURE HOUSE RD
VIRGINIA BEACH, VA 23455

Virginia Beach City (757) 301-2248

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 Neuropsychological Services Of Tidewater, LLC's NPI number?

The NPI number for Neuropsychological Services Of Tidewater, LLC is 1366956096. It was assigned to this organization in the NPPES registry on November 16, 2017.

Where is Neuropsychological Services Of Tidewater, LLC located?

Neuropsychological Services Of Tidewater, LLC is located at 2005 Pleasure House Rd, Virginia Beach, VA 23455. The listed phone number is (757) 301-2248.

What is Neuropsychological Services Of Tidewater, LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Neuropsychological Services Of Tidewater, LLC was last updated on March 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.