Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RADIANT PRIDE THERAPY PLLC
NPI 1669337580
Psychologist - Clinical in Norfolk, VA

Q: What is Radiant Pride Therapy PLLC's NPI number?

The NPI number for Radiant Pride Therapy PLLC is 1669337580. It was assigned to this organization in the NPPES registry on December 23, 2025.

Q: What is Radiant Pride Therapy PLLC's specialty?

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

Active since December 23, 2025

2200 COLONIAL AVE STE 12, NORFOLK, VA 23517(757) 600-6377 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 9, 2026, Dec 23, 2025 (2 updates tracked since 2025).

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About Radiant Pride Therapy Pllc NPPES

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

RADIANT PRIDE THERAPY PLLC (NPI 1669337580) is a healthcare organization registered as a clinical in Norfolk, Virginia and active in the NPI registry since December 2025. The organization lists Renae Delucia, Owner, as its authorized official.

NPPES Registry Identity

NPI1669337580

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameRADIANT PRIDE THERAPY PLLC

Location Address2200 COLONIAL AVE STE 12Norfolk, VA 23517-1919

Mailing Address2200 Colonial Ave Ste 12Norfolk, VA 23517-1919

Phone(757) 600-6377

Organization SubpartNo

Authorized OfficialRenae DeluciaOwner · (630) 336-3302

Enumeration DateDecember 23, 2025

Last NPPES UpdateSeptember 9, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2026

✔ NPI 1669337580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

2200 COLONIAL AVE STE 12, Norfolk, VA 23517

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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)

Radiant Pride Therapy Pllc 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 Radiant Pride Therapy PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Renae Delucia, PHD

Clinical Psychologist

NPI 1194554527

100 EMANCIPATION DR
Hampton, VA 23667

(757) 722-9961

✔ PECOS✔ Accepts Medicare10 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 Radiant Pride Therapy PLLC's NPI number?

The NPI number for Radiant Pride Therapy PLLC is 1669337580. It was assigned to this organization in the NPPES registry on December 23, 2025.

Where is Radiant Pride Therapy PLLC located?

Radiant Pride Therapy PLLC is located at 2200 Colonial Ave Ste 12, Norfolk, VA 23517. The listed phone number is (757) 600-6377.

What is Radiant Pride Therapy PLLC's specialty?

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

Is Radiant Pride Therapy PLLC enrolled in Medicare?

Yes. Radiant Pride Therapy PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Radiant Pride Therapy PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Radiant Pride Therapy PLLC. 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 Radiant Pride Therapy PLLC was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.