Organization
Western Tidewater Community Mental
Provider's NPPES record last updated: January 23, 2026
Overview
- Entity Type
- Organization
- NPI
- 1689615296
- Primary Specialty
- Clinic/Center — Mental Health (Including Community Mental Health Center)
- Practice Location
- Suffolk, Virginia
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 7:46 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Clinic/Center
Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities
Definition to come...
Taxonomy code 261QM0801X Registered Nurse
Case Management
Nursing Service Providers
Definition to come...
Taxonomy code 163WC0400XContractor
Home Modifications
Other Service Providers
A contractor who makes modifications to homes to accommodate a health condition.
Taxonomy code 171WH0202XRehabilitation Counselor
Assistive Technology Practitioner
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Definition to come...
Taxonomy code 225CA2400XCase Management
Agencies
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Taxonomy code 251B00000XDay Training, Developmentally Disabled Services
Agencies
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
Taxonomy code 251C00000XNursing Care
Agencies
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Taxonomy code 251J00000XCommunity/Behavioral Health
Agencies
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Taxonomy code 251S00000XIn Home Supportive Care
Agencies
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Taxonomy code 253Z00000XIntermediate Care Facility, Intellectual Disabilities
Nursing & Custodial Care Facilities
An intermediate care facility providing services for individuals with intellectual disabilities.
Taxonomy code 315P00000XPsychiatric Residential Treatment Facility
Residential Treatment Facilities
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Taxonomy code 323P00000XEmergency Response System Companies
Suppliers
A supplier of a personal emergency response system (PERS), which is an electronic device that enables a patient to receive emergency assistance when needed. The PERS is one of two different methodologies of notification: (1) where the patient summons emergency assistance themselves directly through the device or (2) emergency assistance is summoned through secure activation by the caretaker/guardian, which sends the device location to emergency responders.
Taxonomy code 333300000XNon-emergency Medical Transport (VAN)
Transportation Services
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
Taxonomy code 343900000X
Provider-Reported License Information
- Case Management (Virginia)
- 084-16-001
Practice Locations
Practice Location
7025 Harbour View Blvd Ste 119
Suffolk, Virginia 23435-2762
Phone: (757) 966-2805
Additional Practice Location
1000 Commercial Ln
Suffolk, Virginia 23434-8148
Phone: (757) 942-1069
Fax: (757) 925-2213
Additional Practice Location
641 Adkins Cir
Suffolk, Virginia 23434-3301
Phone: (757) 966-2805
Fax: (757) 673-2586
Additional Practice Location
130 Suburban Dr
Suffolk, Virginia 23434-2625
Phone: (757) 966-2805
Fax: (757) 673-2586
Additional Practice Location
200 E 2nd Ave
Franklin, Virginia 23851-1506
Phone: (757) 562-2208
Fax: (757) 925-2296
Additional Practice Location
135 S Saratoga St
Suffolk, Virginia 23434-5322
Phone: (757) 935-5160
Additional Practice Location
5268 Godwin Blvd
Suffolk, Virginia 23434-8114
Phone: (757) 266-7131
Fax: (757) 255-7128
Additional Practice Location
805 Jefferson St
Suffolk, Virginia 23434-4068
Phone: (757) 966-2805
Fax: (757) 673-2586
Additional Practice Location
1428 Big Bethel Rd
Hampton, Virginia 23666-1409
Phone: (757) 966-2805
Fax: (757) 673-2586
Additional Practice Location
1913 S Church St Ste 2
Smithfield, Virginia 23430-1852
Phone: (757) 357-7458
Fax: (757) 356-1808
Additional Practice Location
16022 Everets Rd
Windsor, Virginia 23487-6054
Phone: (757) 966-2805
Fax: (757) 673-2586
Other Names
- Western Tidewater Community Services BoardReported May 17, 2023
Record Information
- Enumeration Date
- June 8, 2006
- Provider's NPPES Record Last Updated
- January 23, 2026
- Certification Date
- January 23, 2026
- NPISignal NPPES Dataset
- August 2026
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