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Spectrum Psychological and Neurotherapy PC

Psychologist in Virginia Beach, VA · enumerated 2015 · authorized official Carl Ellis, Owner/Ceo.

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

National Provider Identifier

1407221716

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Registry record

Entity type Organization (Type 2)
Legal business name Spectrum Psychological and Neurotherapy PC
Practice address 4542 Bonney Rd Ste B, Virginia Beach, VA, 23462
Phone (757) 640-1882
Fax (757) 640-0253
Enumeration date Dec 11, 2015
Last updated in NPPES Aug 15, 2019

Taxonomy & classification

103T00000X Psychologist Behavioral Health & Social Service Providers Primary
103TC2200X Clinical Child & Adolescent Psychologist Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary

Authorized official

Name Carl Ellis
Title Owner/Ceo
Phone (757) 640-1882

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

Where is Spectrum Psychological and Neurotherapy PC located?
The practice location on file with NPPES is in Virginia Beach, VA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-08-15. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-08-15.