Waterside Psychiatry LLC
NPI 1477303790 · Psychiatric/Mental Health Nurse Practitioner · Suffolk, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Waterside Psychiatry LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Suffolk, VA (NPI 1477303790).
Provider details
- NPI number
- 1477303790
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Chika Ogbolu, Owner(757) 737-3134
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2024-03-27
- Last updated
- 2025-06-18
- Certified
- 2025-06-18
Frequently asked questions
- What is Waterside Psychiatry LLC's NPI number?
- Waterside Psychiatry LLC's National Provider Identifier (NPI) is 1477303790, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waterside Psychiatry LLC?
- Waterside Psychiatry LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Waterside Psychiatry LLC located?
- Waterside Psychiatry LLC's practice location on file with NPPES is 425 W Washington St Ste 4, Suffolk, VA 23434-5320.
- What is Waterside Psychiatry LLC's phone number?
- The practice phone number listed in the NPPES registry for Waterside Psychiatry LLC is (757) 209-4607.
- Does Waterside Psychiatry LLC accept Medicare?
- Waterside Psychiatry LLC 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 Waterside Psychiatry LLC?
- The authorized official listed on Waterside Psychiatry LLC's NPPES record is Chika Ogbolu, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waterside Psychiatry LLC's NPI active?
- Yes — Waterside Psychiatry LLC's NPI (1477303790) is active in the NPPES registry as of the last update on 2025-06-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.