Provider Demographics
NPI:1669444360
Name:KANNARKAT, JOY P (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:P
Last Name:KANNARKAT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:770 LYNNHAVEN PKWY
Mailing Address - Street 2:SUITE 240
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-7324
Mailing Address - Country:US
Mailing Address - Phone:757-962-2780
Mailing Address - Fax:757-240-5936
Practice Address - Street 1:770 LYNNHAVEN PKWY
Practice Address - Street 2:SUITE 240
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-7324
Practice Address - Country:US
Practice Address - Phone:757-962-2780
Practice Address - Fax:757-240-5936
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0810000814103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
2193341OtherCIGNA
P00129343OtherMCARE RAILROAD
043060OtherMAGELLAN
233906OtherCOM PSYCH
VA007702281Medicaid
095094OtherANTHEM HEALTH KEEPERS
VAD95094OtherANTHEM BCBS
VA080940OtherSENTARA OPTIMA
095094OtherANTHEM PPO BCBS
35654812OtherMULTIPLAN
C02527OtherMCARE GROUP
031441OtherVALUE OPTIONS
080940OtherSENTARA OPTIMA
133101OtherMANAGED HEALTH NETWORK
213530OtherMAMSI
VAD95094OtherANTHEM BCBS
233906OtherCOM PSYCH