Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Western Tidewater Community Mental

Mental Health Clinic/Center (Including Community Mental Health Center) in Suffolk, VA · enumerated 2006 · authorized official Marion Young, Reimbursement Supervisor.

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

National Provider Identifier

1689615296

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Registry record

Entity type Organization (Type 2)

Legal business name Western Tidewater Community Mental

Other name <Unavail>

Practice address 7025 Harbour View Blvd Ste 119, Suffolk, VA, 23435

Phone (757) 966-2805

Fax (757) 673-2586

Enumeration date Jun 8, 2006

Last updated in NPPES Jan 23, 2026

Taxonomy & classification

163WC0400X Case Management Registered Nurse Nursing Service Providers Secondary

171WH0202X Home Modifications Contractor Other Service Providers Secondary

225CA2400X Assistive Technology Practitioner Rehabilitation Counselor Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

251B00000X Case Management Agency Agencies · License 084-16-001 (VA) Secondary

251C00000X Developmentally Disabled Services Day Training Agency Agencies Secondary

251J00000X Nursing Care Agency Agencies Secondary

251S00000X Community/Behavioral Health Agency Agencies Secondary

253Z00000X In Home Supportive Care Agency Agencies Secondary

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Primary

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities Secondary

323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities Secondary

333300000X Emergency Response System Companies Suppliers Secondary

343900000X Non-emergency Medical Transport (VAN) Transportation Services Secondary

Authorized official

Name Marion Young

Title Reimbursement Supervisor

Phone (757) 687-9087

Other identifiers

Identifier	Type	State	Issuer
270369	Other	VA	ANTHEM GROUP NUMBER
004945310	Medicaid	VA	-
1689615296	Medicaid	VA	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Western Tidewater Community Mental located?

The practice location on file with NPPES is in Suffolk, VA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-01-23. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-23.