Active NPI
Professional Youth Services
- Mental Illness Community Based Residential Treatment Facility
- Richmond, VA
National Provider Identifier
1023187200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- PROFESSIONAL YOUTH SERVICES
- Practice address
- 4136 Woodfield Rd
Richmond, VA 23234-3450 - Phone
- (804) 674-4456
- Fax
- (804) 674-4458
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jemarn Bernard Thorpe
- Title
- Cheif Executive Officer
- Phone
- (804) 674-4460
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | VA | Primary |
Addresses
Primary practice location
4136 Woodfield Rd
Richmond, VA 23234-3450
Mailing address
7206 Hull Street Rd
Suite 102a
Richmond, VA 23235-5827
Phone (804) 674-4460
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023187200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7206 HULL STREET RD",
"address_2": "SUITE 102A",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232355827",
"telephone_number": "804-674-4460",
"fax_number": "804-674-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4136 WOODFIELD RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232343450",
"telephone_number": "804-674-4456",
"fax_number": "804-674-4458"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL YOUTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "THORPE",
"authorized_official_first_name": "JEMARN",
"authorized_official_middle_name": "BERNARD",
"authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "804-674-4460",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
- Professional Healthcare Resources of Richmond, Inc. (Professional Healthcare)
- Professional Mental Health Educational Consultants, LLC
- Professional Nurses, Inc
- Professional Pharmacy South
- Professional Therapies of Roanoke, Inc. (CORA Physical Therapy - Stony Point)
- Elizabeth Kate Proffitt, M.D.
- Jocelyn H Proietti, SLP
- Project Community II, Inc. (Project Community, Inc.)
- Prolific Life Services
- Pronurses Inc
Sources for this page
- 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.