Western Tidewater Community Mental
NPI 1689615296 · Mental Health Clinic/Center (Including Community Mental Health Center) · Suffolk, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Western Tidewater Community Mental is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Suffolk, VA (NPI 1689615296).
Provider details
- NPI number
- 1689615296
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marion Young, Reimbursement Supervisor(757) 687-9087
Specialties & taxonomies
Ambulatory Health Care Facilities
- Emergency Response System Companies333300000X
Suppliers
- Community/Behavioral Health Agency251S00000X
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
- Home Modifications Contractor171WH0202X
Other Service Providers
Residential Treatment Facilities
- Case Management Agency251B00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
11 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
Other names (DBA / former)
- Doing business as
- Western Tidewater Community Services Board
Additional practice locations (10)
- 200 E 2nd AveFranklin, VA 23851-1506Phone: (757) 562-2208Fax: (757) 925-2296
- 1428 Big Bethel RdHampton, VA 23666-1409Phone: (757) 966-2805Fax: (757) 673-2586
- 1913 S Church St Ste 2Smithfield, VA 23430-1852Phone: (757) 357-7458Fax: (757) 356-1808
- 641 Adkins CirSuffolk, VA 23434-3301Phone: (757) 966-2805Fax: (757) 673-2586
- 1000 Commercial LnSuffolk, VA 23434-8148Phone: (757) 942-1069Fax: (757) 925-2213
- 805 Jefferson StSuffolk, VA 23434-4068Phone: (757) 966-2805Fax: (757) 673-2586
- 5268 Godwin BlvdSuffolk, VA 23434-8114Phone: (757) 266-7131Fax: (757) 255-7128
- 135 S Saratoga StSuffolk, VA 23434-5322Phone: (757) 935-5160
Registry dates
- Enumerated
- 2006-06-08
- Last updated
- 2026-01-23
- Certified
- 2026-01-23
Frequently asked questions
- What is Western Tidewater Community Mental's NPI number?
- Western Tidewater Community Mental's National Provider Identifier (NPI) is 1689615296, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Western Tidewater Community Mental?
- Western Tidewater Community Mental is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Western Tidewater Community Mental located?
- Western Tidewater Community Mental's practice location on file with NPPES is 7025 Harbour View Blvd Ste 119, Suffolk, VA 23435-2762.
- What is Western Tidewater Community Mental's phone number?
- The practice phone number listed in the NPPES registry for Western Tidewater Community Mental is (757) 966-2805.
- Does Western Tidewater Community Mental accept Medicare?
- Western Tidewater Community Mental 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 Western Tidewater Community Mental?
- The authorized official listed on Western Tidewater Community Mental's NPPES record is Marion Young, Reimbursement Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Western Tidewater Community Mental's NPI active?
- Yes — Western Tidewater Community Mental's NPI (1689615296) is active in the NPPES registry as of the last update on 2026-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.