Provider Demographics
NPI:1871566596
Name:DEAVER, SARAH HITE (PHD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:HITE
Last Name:DEAVER
Suffix:
Gender:F
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 1:825 FAIRFAX AVE
Practice Address - Street 2:SUITE 710
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1914
Practice Address - Country:US
Practice Address - Phone:757-446-5888
Practice Address - Fax:757-446-5918
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001772101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA-006OtherTRICARE/CHAMPUS
VA072435OtherANTHEM
VAPAROtherUSA MANAGED CARE
VAPAROtherFIRST HEALTH COMMERCIAL
VAPAROtherCORVEL/CORCARE
VAPAROtherVA HEALTH NETWORK
VA005404827Medicaid
VA233109OtherUNITED BEHAVIORAL HEALTH/MAMSI
VAPAROtherVIRGINIA PREMIER HEALTH
VA254666OtherMAGELLAN HEALTH SERVICES
VAPAROtherMULTIPLAN
VAPAROtherAETNA
VA417521OtherVALUE OPTIONS
VA88858OtherSENTARA/OPTIMA
VA323840OtherMANAGED HEALTH NETWORK