Provider Demographics
NPI:1962477554
Name:HANDEL, RICHARD WALTER (PHD)
Entity Type:Individual
Prefix:PROF
First Name:RICHARD
Middle Name:WALTER
Last Name:HANDEL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-446-5888
Mailing Address - Fax:757-446-5918
Practice Address - Street 1:721 FAIRFAX AVE FL 4
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-2007
Practice Address - Country:US
Practice Address - Phone:757-446-5700
Practice Address - Fax:757-446-5235
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810002899103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA295943OtherUHC/MAMSI
VA343811OtherMANAGED HEALTH NETWORK
VA-006OtherTRICARE/CHAMPUS
NC064UAOtherNC BC/BS
VA283654OtherMAGELLAN
VA481620OtherVALUE OPTIONS
VA2211489OtherCIGNA BEHAVIORAL HEALTH
VAPAROtherAETNA
NC89064UAMedicaid
VAPAROtherVIRGINIA PREMIER HEALTH
VAPAROtherVIRGINIA HEALTH NETWORK
VA007706821Medicaid
VA287231OtherANTHEM
VA86621OtherSENTARA/OPTIMA
VAPAROtherUSA MANAGED CARE
VAPAROtherFIRST HEALTH COMMERICAL
VAPAROtherMULTIPLAN
VAPAROtherCORVEL/CORCARE
VAP40497Medicare UPIN
NC89064UAMedicaid
VA283654OtherMAGELLAN