Organization Active NPI

Gavin Connor, L.P.C.

  • Community/Behavioral Health Agency
  • Charlottesville, VA
National Provider Identifier
1013391564
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0701005444 Issued in VA
Legal business name
GAVIN CONNOR, L.P.C.
Practice address
700 Harris St Ste 106
Charlottesville, VA 22903-4584
Phone
(434) 249-0230
NPI assigned
Jul 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Gavin Connor, L.P.C.
Title
Sole Proprietor
Phone
(434) 249-0230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0701005444 VA Primary

Addresses

Primary practice location

700 Harris St Ste 106
Charlottesville, VA 22903-4584

Mailing address

700 Harris St Ste 106
Charlottesville, VA 22903-4584
Phone (434) 249-0230

National Provider Directory

National Provider Directory

Locations

700 Harris St
Ste 106
Charlottesville, VA 22903
Phone (434) 249-0230

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1013391564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HARRIS ST STE 106",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034584",
            "telephone_number": "434-249-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HARRIS ST STE 106",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034584",
            "telephone_number": "434-249-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAVIN CONNOR, L.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "434-249-0230",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0701005444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.