DR. STEPHEN CARL GANDERSON PSY.D.
NPI 1902994262
Psychologist - Clinical in Chesapeake, VA

Q: What is Stephen Ganderson's NPI number?

The NPI number for Stephen Ganderson is 1902994262. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is Stephen Ganderson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stephen Ganderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 11, 2006

505 CEDAR RD, SUITE B-1, CHESAPEAKE, VA 23322(757) 548-9996(757) 382-5085 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Stephen Carl Ganderson Psy.d. NPPES

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

DR. STEPHEN CARL GANDERSON PSY.D. (NPI 1902994262) is an individual clinical provider in Chesapeake, Virginia, licensed in Virginia (0810001638) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1902994262

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. STEPHEN CARL GANDERSONCredential: PSY.D.

Location Address505 CEDAR RD, SUITE B-1Chesapeake, VA 23322-5585

Mailing AddressPo Box 2739Chesapeake, VA 23327-2739 · (757) 548-9996 · Fax (757) 382-5085

Phone(757) 548-9996

Fax(757) 382-5085

Sole ProprietorYes

Enumeration DateOctober 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1902994262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810001638

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.

505 CEDAR RD, Chesapeake, VA 23322

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Other Identifiers 2

Medicaid7704755VA

Medicare UPINR64191VA

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 Stephen Ganderson's NPI number?

The NPI number for Stephen Ganderson is 1902994262. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Stephen Ganderson located?

Stephen Ganderson practices at 505 Cedar Rd Suite B-1, Chesapeake, VA 23322. The listed phone number is (757) 548-9996.

What is Stephen Ganderson's specialty?

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

When was this NPI record last updated?

The NPPES record for Stephen Ganderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.