Organization provider

WATERSIDE PSYCHIATRY LLC

Psychiatric/Mental Health Nurse Practitioner Medicare enrolled

WATERSIDE PSYCHIATRY LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1477303790, based in Suffolk, VA. It is classified under Psychiatric/Mental Health Nurse Practitioner.

Getting there

The practice address on file is 425 W WASHINGTON ST STE 4, Suffolk, VA 23434. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

425 W WASHINGTON ST STE 4, Suffolk, VA 23434 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
3173062296
Enrollment ID
O20240903001856

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Psychiatric/Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1477303790 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMar 27, 2024
Last updatedJun 18, 2025
StatusActive
Practice address 425 W WASHINGTON ST STE 4
Suffolk, VA 23434
(757) 209-4607
Fax (430) 224-0004
Mailing address 721 REDLEAFE CIR
Chesapeake, VA 23320
This record was updated on Jun 18, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1477303790 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 7 7 3 0 3 7 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 5 7 6 0 6 7 9

Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1477303790?
NPI 1477303790 is the National Provider Identifier assigned to WATERSIDE PSYCHIATRY LLC in Suffolk, VA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatric/Mental Health cover?
Definition to come...
How do I contact WATERSIDE PSYCHIATRY LLC?
The phone number on file with NPPES is (757) 209-4607, last updated Jun 18, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does WATERSIDE PSYCHIATRY LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1477303790 a valid number?
Yes. 1477303790 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.