Healthcare Provider Details

I. General information

NPI: 1992622484
Provider Name (Legal Business Name): INSIGHT PSYCHOLOGICAL CENTER FOR CHILDREN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 LYNNHAVEN PKWY STE 400
VIRGINIA BEACH VA
23452-7332
US

IV. Provider business mailing address

780 LYNNHAVEN PKWY STE 400
VIRGINIA BEACH VA
23452-7332
US

V. Phone/Fax

Practice location:
  • Phone: 757-571-7624
  • Fax: 757-794-4736
Mailing address:
  • Phone: 757-571-7624
  • Fax: 757-794-4736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: JENNIFER JOHNSON
Title or Position: OWNER
Credential: PH.D.
Phone: 757-571-7624