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NPI Code Detail

MEDICARE: BEHAVIORAL & NEUROPSYCHIATRIC GROUP, INC

MEDICARE: BEHAVIORAL & NEUROPSYCHIATRIC GROUP, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2103TC0700XClinical Psychologist
31041C0700XClinical Social Worker
42084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1548287253
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIORAL & NEUROPSYCHIATRIC GROUP, INC
Provider Business Mailing Address
First Line : 1745 CAMELOT DR
Second Line : SUITE 200
City : VIRGINIA BEACH
State : VA
Zip : 23454-2435
Country : US
Telephone Number : 757-481-6000
Fax Number : 757-481-6311
Provider Business Practice Location Address
First Line : 1745 CAMELOT DR
Second Line : SUITE 200
City : VIRGINIA BEACH
State : VA
Zip : 23454-2435
Country : US
Telephone Number : 757-481-6000
Fax Number : 757-481-6311
Authorized Official
Title or Position : OFFICE MANAGER
Name : PATRICIA MAE PEASE
Credential :
Telephone Number : 757-481-6000
Provider Enumeration Date : 07/17/2006
Last Update Date : 09/11/2025

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Directions to “BEHAVIORAL & NEUROPSYCHIATRIC GROUP, INC ” Practice Location

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