NPIMap

Organization Active NPI

For Children'S Sake Emergency Diagnostic Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Woodbridge, VA
National Provider Identifier
1033262191
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
58614001 Issued in VA
Legal business name
FOR CHILDREN'S SAKE EMERGENCY DIAGNOSTIC CENTER
Practice address
4805 Wellesley Dr
Woodbridge, VA 22192-5733
Phone
(703) 583-6971
Fax
(703) 583-6975
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Mrs. Deborah K Evans, LCSW
Title
Chief Executive Officer
Phone
(703) 817-9890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 58614001 VA Primary

Addresses

Primary practice location

4805 Wellesley Dr
Woodbridge, VA 22192-5733

Mailing address

4805 Wellesley Dr
Woodbridge, VA 22192-5733
Phone (703) 583-6971

Other names 1

  • For Children's Sake of Virginia Doing business as

National Provider Directory

National Provider Directory
Tax ID family
For Children'S Sake of Virginia6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1033262191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 WELLESLEY DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925733",
            "telephone_number": "703-583-6971",
            "fax_number": "703-583-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 WELLESLEY DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925733",
            "telephone_number": "703-583-6971",
            "fax_number": "703-583-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR CHILDREN'S SAKE EMERGENCY DIAGNOSTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "703-817-9890",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "VA",
            "license": "58614001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "For Children's Sake of Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.