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Lakeside Psychological Center PC

Psychologist in Virginia Beach, VA · enumerated 2007 · authorized official Theodore Stevens, President, Psychologist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104044528

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Registry record

Entity type Organization (Type 2)
Legal business name Lakeside Psychological Center PC
Practice address 3076 Brickhouse Ct, Virginia Beach, VA, 23452
Phone (757) 486-0909
Fax (757) 340-7518
Enumeration date Apr 23, 2007
Last updated in NPPES Sep 1, 2010

Taxonomy & classification

103T00000X Psychologist Behavioral Health & Social Service Providers · License 90801000970 (VA) Primary

Authorized official

Name Theodore Stevens
Title President, Psychologist
Phone (757) 486-0909

Other identifiers

Identifier Type State Issuer
1790811040 Other VA NPI
1104044528 Other VA CORPORATE NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Lakeside Psychological Center PC?
The NPI for Lakeside Psychological Center PC is 1104044528, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lakeside Psychological Center PC?
NPPES lists Theodore Stevens (President, Psychologist) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-09-01.