SPECTRUM PSYCHOLOGICAL AND NEUROTHERAPY PC
NPI 1407221716
Psychologist in Virginia Beach, VA

Active since December 11, 2015
4542 BONNEY RD STE B, VIRGINIA BEACH, VA 23462(757) 640-1882(757) 640-0253 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2019, Sep 11, 2018, Dec 11, 2015 (3 updates tracked since 2015).

About Spectrum Psychological And Neurotherapy Pc NPPES

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

SPECTRUM PSYCHOLOGICAL AND NEUROTHERAPY PC (NPI 1407221716) is a healthcare organization registered as a psychologist in Virginia Beach, Virginia and active in the NPI registry since December 2015. The organization maintains a secondary practice location in Virginia Beach and lists Carl Richard Ellis, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1407221716
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameSPECTRUM PSYCHOLOGICAL AND NEUROTHERAPY PC
Location Address4542 BONNEY RD STE BVirginia Beach, VA 23462
Mailing Address4542 Bonney Rd Ste BVirginia Beach, VA 23462-3867 · (757) 640-1882 · Fax (757) 640-0253
Fax(757) 640-0253
Organization SubpartNo
Authorized OfficialCarl Richard EllisOwner/ceo · (757) 640-1882
Enumeration DateDecember 11, 2015
Last NPPES UpdateAugust 15, 20193 updates tracked since enumeration
NPI 1407221716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
4542 BONNEY RD STE B, Virginia Beach, VA 23462

Secondary Practice Location 1

Location 14542 Bonney Rd Ste BVirginia Beach, VA 23462 · Phone (757) 640-1882 · Fax (757) 640-0253

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

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
4542 BONNEY RD STE B
VIRGINIA BEACH, VA 23462
Counselor (Professional)
4542 BONNEY RD STE B
VIRGINIA BEACH, VA 23462
Clinic/Center (Multi-Specialty)
4542 BONNEY RD STE B
VIRGINIA BEACH, VA 23462

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 Spectrum Psychological And Neurotherapy PC's NPI number?

The NPI number for Spectrum Psychological And Neurotherapy PC is 1407221716. It was assigned to this organization in the NPPES registry on December 11, 2015.

Where is Spectrum Psychological And Neurotherapy PC located?

Spectrum Psychological And Neurotherapy PC is located at 4542 Bonney Rd Ste B, Virginia Beach, VA 23462. The listed phone number is (757) 640-1882.

What is Spectrum Psychological And Neurotherapy PC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Spectrum Psychological And Neurotherapy PC was last updated on August 15, 2019. 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.