Basic Information
| Provider Information | |||||||||
| NPI: | 1871566596 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DEAVER | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | HITE | ||||||||
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| Credential: | PH.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 936 | ||||||||
| Address2: | |||||||||
| City: | NORFOLK | ||||||||
| State: | VA | ||||||||
| PostalCode: | 235010936 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7574465888 | ||||||||
| FaxNumber: | 7574465918 | ||||||||
| Practice Location | |||||||||
| Address1: | 825 FAIRFAX AVE | ||||||||
| Address2: | SUITE 710 | ||||||||
| City: | NORFOLK | ||||||||
| State: | VA | ||||||||
| PostalCode: | 235071914 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7574465888 | ||||||||
| FaxNumber: | 7574465918 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/13/2006 | ||||||||
| LastUpdateDate: | 12/17/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 0701001772 | VA | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
ID Information
| ID | Type | State | Issuer | Description | -006 | 01 | VA | TRICARE/CHAMPUS | OTHER | 072435 | 01 | VA | ANTHEM | OTHER | PAR | 01 | VA | USA MANAGED CARE | OTHER | PAR | 01 | VA | FIRST HEALTH COMMERCIAL | OTHER | PAR | 01 | VA | CORVEL/CORCARE | OTHER | PAR | 01 | VA | VA HEALTH NETWORK | OTHER | 005404827 | 05 | VA | MEDICAID | 233109 | 01 | VA | UNITED BEHAVIORAL HEALTH/MAMSI | OTHER | PAR | 01 | VA | VIRGINIA PREMIER HEALTH | OTHER | 254666 | 01 | VA | MAGELLAN HEALTH SERVICES | OTHER | PAR | 01 | VA | MULTIPLAN | OTHER | PAR | 01 | VA | AETNA | OTHER | 417521 | 01 | VA | VALUE OPTIONS | OTHER | 88858 | 01 | VA | SENTARA/OPTIMA | OTHER | 323840 | 01 | VA | MANAGED HEALTH NETWORK | OTHER |