Spectrum Psychological and Neurotherapy PC
NPI 1407221716 · Psychologist · Virginia Beach, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Spectrum Psychological and Neurotherapy PC is a Psychologist organization in Virginia Beach, VA (NPI 1407221716).
Provider details
- NPI number
- 1407221716
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Carl Ellis, Owner/Ceo(757) 640-1882
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Child & Adolescent Psychologist103TC2200X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 4542 Bonney Rd Ste BVirginia Beach, VA 23462Phone: (757) 640-1882Fax: (757) 640-0253
Registry dates
- Enumerated
- 2015-12-11
- Last updated
- 2019-08-15
Frequently asked questions
- What is Spectrum Psychological and Neurotherapy PC's NPI number?
- Spectrum Psychological and Neurotherapy PC's National Provider Identifier (NPI) is 1407221716, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spectrum Psychological and Neurotherapy PC?
- Spectrum Psychological and Neurotherapy PC is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Spectrum Psychological and Neurotherapy PC located?
- Spectrum Psychological and Neurotherapy PC's practice location on file with NPPES is 4542 Bonney Rd Ste B, Virginia Beach, VA 23462.
- What is Spectrum Psychological and Neurotherapy PC's phone number?
- The practice phone number listed in the NPPES registry for Spectrum Psychological and Neurotherapy PC is (757) 640-1882.
- Does Spectrum Psychological and Neurotherapy PC accept Medicare?
- Spectrum Psychological and Neurotherapy PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Spectrum Psychological and Neurotherapy PC?
- The authorized official listed on Spectrum Psychological and Neurotherapy PC's NPPES record is Carl Ellis, Owner/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spectrum Psychological and Neurotherapy PC's NPI active?
- Yes — Spectrum Psychological and Neurotherapy PC's NPI (1407221716) is active in the NPPES registry as of the last update on 2019-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.