Provider Demographics
NPI:1386108876
Name:OCEANSIDE PSYCHOLOGICAL AND FORENSIC EVALUATIONS
Entity type:Organization
Organization Name:OCEANSIDE PSYCHOLOGICAL AND FORENSIC EVALUATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:VANSKIVER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:516-455-1536
Mailing Address - Street 1:1162 PROFESSIONAL DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-3330
Mailing Address - Country:US
Mailing Address - Phone:757-771-0269
Mailing Address - Fax:757-528-8668
Practice Address - Street 1:1162 PROFESSIONAL DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-3330
Practice Address - Country:US
Practice Address - Phone:757-771-0269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-29
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty