Broad Rock Counseling and Training Associates

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810000972 Issued in VA

Legal business name

BROAD ROCK COUNSELING AND TRAINING ASSOCIATES

Practice address

2545 Bellwood Road
Suite 112
Richmond, VA 23237-4481

Phone

(804) 275-9980

Fax

(804) 275-9981

NPI assigned

Jun 2, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joann M. Thomas-Wilson, PHD.

Title

Psychologist

Phone

(804) 275-9980

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1003074493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 BELLWOOD ROAD",
            "address_2": "SUITE 112",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232374481",
            "telephone_number": "804-275-9980",
            "fax_number": "804-275-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 BELLWOOD ROAD",
            "address_2": "SUITE 112",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232374481",
            "telephone_number": "804-275-9980",
            "fax_number": "804-275-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROAD ROCK COUNSELING AND TRAINING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "THOMAS-WILSON",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "804-275-9980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007700890",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pauleatha Ciara Britt, FNP
• Chantelle Victoria Britton
• Meredith E. Britton, ACNP
• Jacqueline Britz
• Broad 64 Imaging LLC
• Reuben Hancock Broaddus Jr., M.D.
• William C Broaddus, M.D., PH.D.
• Abigail Elizabeth Broadhurst, OTR/L
• Monica D Broadnax, FNP-C
• Broadstar Installs LLC

• Clinical Psychologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.