NPIMap

Organization Active NPI

Virginia Behavioral Medicine PLLC

  • Psychiatric Residential Treatment Facility
  • Virginia Beach, VA
National Provider Identifier
1003259771
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
0101054894 Issued in VA
Legal business name
VIRGINIA BEHAVIORAL MEDICINE PLLC
Practice address
1301 First Colonial Rd
Ste 200
Virginia Beach, VA 23454-2263
Phone
(757) 222-1230
Fax
(757) 222-1887
NPI assigned
Apr 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Authorized official

Name
Dr. John F Riedler, M.D.
Title
President
Phone
(757) 373-0380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 0101054894 VA Primary

Addresses

Primary practice location

1301 First Colonial Rd
Ste 200
Virginia Beach, VA 23454-2263

Mailing address

1301 First Colonial Rd
Ste 200
Virginia Beach, VA 23454-2263
Phone (757) 222-1230

Other identifiers 2

IdentifierTypeStateIssuer
260051194OtherVARAILROAD MEDICARE
007117817MedicaidVA

National Provider Directory

National Provider Directory

Locations

1301 First Colonial Rd
Ste 200
Virginia Beach, VA 23454
Phone (757) 222-1230

NPI Registry JSON

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1003259771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 FIRST COLONIAL RD",
            "address_2": "STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542263",
            "telephone_number": "757-222-1230",
            "fax_number": "757-222-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 FIRST COLONIAL RD",
            "address_2": "STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542263",
            "telephone_number": "757-222-1230",
            "fax_number": "757-222-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA BEHAVIORAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "RIEDLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-373-0380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "VA",
            "license": "0101054894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260051194",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007117817",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.