WATERSIDE PSYCHIATRY LLC
NPI 1477303790
Nurse Practitioner - Psychiatric/Mental Health in Suffolk, VA

NPI Status: Active since March 27, 2024

Contact Information

425 W WASHINGTON ST STE 4
SUFFOLK, VA
ZIP 23434
Phone: (757) 209-4607
Fax: (430) 224-0004

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About WATERSIDE PSYCHIATRY LLC

This page provides the complete NPI Profile along with additional information for Waterside Psychiatry Llc, a provider established in Suffolk, Virginia operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1477303790 assigned on March 2024. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated June 2025. Waterside Psychiatry Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Chika Umejei Ogbolu (Owner)

NPI
1477303790
Provider Name
WATERSIDE PSYCHIATRY LLC
Entity Type
Organization
Location Address
425 W WASHINGTON ST STE 4 SUFFOLK, VA 23434
Location Phone
(757) 209-4607
Location Fax
(430) 224-0004
Mailing Address
721 REDLEAFE CIR CHESAPEAKE, VA 23320
Mailing Phone
(757) 209-4607
Mailing Fax
(430) 224-0004
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-27-2024
Last Update Date
06-18-2025
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A nurse practitioner (NP) like Waterside Psychiatry Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHIKA UMEJEI OGBOLU

Authorized Official Title
OWNER
Authorized Official Phone
(757) 737-3134

Reviews for WATERSIDE PSYCHIATRY LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1477303790
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24147606718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 6 + 0 + 6 + 7 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1477303790 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548786692SUFFOLK PSYCHOTHERAPY, INC.
Organization
Social Worker (Clinical)425 W WASHINGTON ST STE 4
SUFFOLK, VA 23434
(757) 809-5376
1437724077 JAMARIUS ISIAH WILLIAMS MSW, LCSW
Individual
Social Worker (Clinical)425 W WASHINGTON ST STE 4
SUFFOLK, VA 23434
(757) 809-5376
1629721980HEROIC MENTAL HEALTH LLC
Organization
Nurse Practitioner (Psychiatric/Mental Health)425 W WASHINGTON ST STE 4
SUFFOLK, VA 23434
(757) 737-3134
1447755988 ASHLEY ELIZABETH BOWMAN BCBA/LBA
Individual
Behavior Analyst425 W WASHINGTON ST STE 4
SUFFOLK, VA 23434
(757) 774-6111
1215648126 DARBY DONAHOO
Individual
Behavior Technician425 W WASHINGTON ST STE 4
SUFFOLK, VA 23434
(757) 974-9815
1184322588 VICTORIA BAIREY
Individual
Behavior Technician425 W WASHINGTON ST STE 4
SUFFOLK, VA 23434
(757) 323-6419
1326819517 ANESHIA ANNE BROWN
Individual
Behavior Technician425 W WASHINGTON ST STE 4
SUFFOLK, VA 23434
(757) 974-0972
1770335523DREAM BIGGER ABA LLC
Organization
Behavior Analyst425 W WASHINGTON ST STE 4
SUFFOLK, VA 23434
(347) 218-1207
1245984939BEHAVIOR ANALYTIC MINDS, LLC
Organization
Behavior Analyst425 W WASHINGTON ST STE 4
SUFFOLK, VA 23434
(757) 974-0972
1205643764CHANNEL BEHAVIORAL CARE VA LLC
Organization
Behavior Analyst425 W WASHINGTON ST STE 4
SUFFOLK, VA 23434
(646) 238-4930
1053781005 TENIKA TROTTER
Individual
Nurse Practitioner (Psychiatric/Mental Health)425 W WASHINGTON ST STE 4
SUFFOLK, VA 23434
(757) 644-0208
1467251439MRS. KELLEY BETH SAUBER MS, MHP
Individual
Health and Wellness Coach425 W WASHINGTON ST STE 4
SUFFOLK, VA 23434
(757) 809-5376
1013702620ALLY ABA
Organization
Behavior Analyst425 W WASHINGTON ST STE 4
SUFFOLK, VA 23434
(757) 547-6203
1538958855 DANIELLE NICOLE KUNTZ RBT
Individual
Behavior Technician425 W WASHINGTON ST STE 4
SUFFOLK, VA 23434
(757) 974-0972
1336100809MRS. UCHE M UMEJEI FNP
Individual
Nurse Practitioner (Family)425 W WASHINGTON ST STE 4
SUFFOLK, VA 23434
(757) 209-4607
1528549219 CHIKA I OGBOLU NP
Individual
Nurse Practitioner (Family)425 W WASHINGTON ST STE 4
SUFFOLK, VA 23434
(575) 209-4607
1952115933 CASSANDRA LYNN BOZARD MSN,APRN,PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)425 W WASHINGTON ST STE 4
SUFFOLK, VA 23434
(757) 503-5122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477303790, enumerated in the NPI registry as an "organization" on March 27, 2024

The provider is located at 425 W Washington St Ste 4 Suffolk, Va 23434 and the phone number is (757) 209-4607

This medical organization specializes in Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

This NPI record was last updated on March 27, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.