Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Waterside Psychiatry LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1477303790

Waterside Psychiatry LLC is a Psychiatric/Mental Health Nurse Practitioner in Suffolk, Virginia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

425 W Washington St Ste 4
Suffolk, VA 23434-5320
Phone: (757) 209-4607
Fax: (430) 224-0004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1477303790
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chika Ogbolu — Owner · (757) 737-3134
NPI enumeratedMarch 27, 2024
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025
Mailing address721 Redleafe Cir, Chesapeake, VA 23320-3226

Other providers in Suffolk