East End Intensive Outpatient Program

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

320 Issued in VA

Legal business name

EAST END INTENSIVE OUTPATIENT PROGRAM

Practice address

2010 27TH St
Newport News, VA 23607-4912

Phone

(757) 247-0039

Fax

(757) 247-0158

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jacqueline Cooper Watkins

Title

McAid Coordinator

Phone

(757) 247-0039

Specialties & licenses 1

Addresses

Tax ID family

East End Academy Inc Southside2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• East End Academy Inc Southside

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norfolk, VA
  • NPI 1578798849
  NPD tax ID

Locations

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013056167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 27TH ST",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236074912",
            "telephone_number": "757-247-0039",
            "fax_number": "757-247-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 27TH ST",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236074912",
            "telephone_number": "757-247-0039",
            "fax_number": "757-247-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST END INTENSIVE OUTPATIENT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "COOPER",
        "authorized_official_title_or_position": "MCAID COORDINATOR",
        "authorized_official_telephone_number": "757-247-0039",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Each One Teach One, LLC
• Jay D Eackles, M.ED.
• Michael Allyson Eades
• Eagle Medical Transports, LLC
• East End Academy, Inc
• East End Pharmacy Inc
• Eastern Virginia Adult Care, LLC
• Eastern Virginia Rheumatology PLC
• Michaela Eastham
• Ashley Amari Eaton, MSW

• Community/Behavioral Health Agency in Newport News, VA
• Providers in Newport News, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.