SPECTRUM PSYCHOLOGICAL AND NEUROTHERAPY PC
NPI 1407221716
Psychologist in Virginia Beach, VA
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
Specialties & Licenses 3
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Spectrum Psychological And Neurotherapy Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Spectrum Psychological And Neurotherapy PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 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.
Is Spectrum Psychological And Neurotherapy PC enrolled in Medicare?
Yes. Spectrum Psychological And Neurotherapy PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Spectrum Psychological And Neurotherapy PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Spectrum Psychological And Neurotherapy PC, in Nurse Practitioner and Psychologist Billing Independently. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 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.