NPIMap

Organization Active NPI

Family Preservation Services, Inc

  • Community/Behavioral Health Agency
  • New Canton, VA
National Provider Identifier
1003053992
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
158 02 029 Issued in VA
Legal business name
FAMILY PRESERVATION SERVICES, INC
Practice address
59 Gold Hill Elementary School Rd
New Canton, VA 23123-2162
Phone
(434) 392-3328
Fax
(434) 392-3235
NPI assigned
Jan 14, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Michael C Fidgeon
Title
Coo
Phone
(540) 710-6085

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Family Preservation Services Inc (134 organizations share this tax ID)

Locations

59 Gold Hill Elementary School Rd
New Canton, VA 23123

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 158 02 029 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

59 Gold Hill Elementary School Rd
New Canton, VA 23123-2162

Mailing address

10304 Spotsylvania Ave
3Rd Floor
Fredericksburg, VA 22408-8602
Phone (540) 710-6085

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
158 02 029MedicaidVA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 14, 2009.

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1003053992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10304 SPOTSYLVANIA AVE",
            "address_2": "3RD FLOOR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088602",
            "telephone_number": "540-710-6085",
            "fax_number": "540-710-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 GOLD HILL ELEMENTARY SCHOOL RD",
            "city": "NEW CANTON",
            "state": "VA",
            "postal_code": "231232162",
            "telephone_number": "434-392-3328",
            "fax_number": "434-392-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRESERVATION SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "FIDGEON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "540-710-6085",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "158 02 029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158 02 029",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Canton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.