DR. MICHELLE DERELLO JARDON-AITES MD
NPI 1881914331
Pediatrics - Developmental - Behavioral Pediatrics in Portsmouth, VA

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0006X and a focus in Developmental - Behavioral Pediatrics.

Active since June 07, 2010PECOS Enrolled

620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708(757) 953-5000 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 8, 2023, Nov 18, 2022, Jul 25, 2022 and 3 more (6 updates tracked since 2016).

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About Dr. Michelle Derello Jardon-aites Md NPPES

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

DR. MICHELLE DERELLO JARDON-AITES MD (NPI 1881914331) is an individual developmental - behavioral pediatrics provider in Portsmouth, Virginia, licensed in Virginia (0101250180) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1881914331

Entity TypeIndividualFemale

Primary Taxonomy2080P0006X

Provider Legal NameDR. MICHELLE DERELLO JARDON-AITESCredential: MD

Location Address620 JOHN PAUL JONES CIRPortsmouth, VA 23708-2111

Mailing Address620 John Paul Jones CirPortsmouth, VA 23708-2111

Phone(757) 953-5000

Sole ProprietorNo

Enumeration DateJune 7, 2010

Last NPPES UpdateSeptember 8, 20236 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2023

✔ NPI 1881914331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080P0006X

License✔ Licensed in VA · 0101250180

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

620 JOHN PAUL JONES CIR, Portsmouth, VA 23708

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Secondary Practice Location 1

Location 19040 Jackson AveTacoma, WA 98431-8800 · Phone (360) 257-9782 · Fax (360) 257-9662

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michelle Derello Jardon-aites Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.