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Western Tidewater Community Services Board

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Suffolk, VA · enumerated 2006 · authorized official Demetrios Peratsakis, Executive Director.

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

National Provider Identifier

1669558813

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Registry record

Entity type Organization (Type 2)
Legal business name Western Tidewater Community Services Board
Other name <Unavail>
Practice address 130 Suburban Dr, Suffolk, VA, 23434
Phone (757) 255-7127
Enumeration date Oct 31, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Demetrios Peratsakis
Title Executive Director
Phone (757) 255-7127

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

Who is the authorized official for Western Tidewater Community Services Board?
NPPES lists Demetrios Peratsakis (Executive Director) as the authorized official for this organization.
What is the NPI number for Western Tidewater Community Services Board?
The NPI for Western Tidewater Community Services Board is 1669558813, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.