Provider Demographics
NPI:1902909971
Name:DEUTSCH, STEPHEN IRWIN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:IRWIN
Last Name:DEUTSCH
Suffix:
Gender:M
Credentials:MD
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:2006-09-06
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00327742084P0800X
VA01012452422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAPAROtherMULTIPLAN
VA600576-779OtherMAGELLAN HEALTH SERVICES
VAPAROtherCORVEL/CORCARE
VAPAROtherUSA MANAGED CARE
VAPAROtherVA HEALTH NETWORK
VA044672OtherVALUE OPTIONS
VA413513OtherUNITED BEHAVIORAL HEALTH
VA1920909971OtherSENTARA/OPTIMA BEHAVIORAL HEALTH
VA443642OtherMANAGED HEALTH NETWORK
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
NC11610OtherBC/BS OF NC
VA1902909971Medicaid
NC5911610Medicaid
VAPAROtherAETNA
VAPAROtherCIGNA BEHAVIORAL HEALTH
VA372862OtherANTHEM BC/BS
VAPAROtherVA PREMIER HEALTH
NC5911610Medicaid
VA1902909971Medicaid