Family Preservations Services, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

15802029 Issued in VA

Legal business name

FAMILY PRESERVATIONS SERVICES, INC

Practice address

RR 1 Box 552
Jonesville, VA 24263-9505

Phone

(276) 431-7214

Fax

(276) 431-7215

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Michael Fidgeon

Title

Ceo

Phone

(540) 710-6085

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1043350127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10304 SPOTSYLVANIA AVE",
            "address_2": "SUITE 300",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088602",
            "telephone_number": "540-710-6085",
            "fax_number": "540-710-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 552",
            "city": "JONESVILLE",
            "state": "VA",
            "postal_code": "242639505",
            "telephone_number": "276-431-7214",
            "fax_number": "276-431-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRESERVATIONS SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "FIDGEON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-710-6085"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "15802029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15802029",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darryl Bradley Estes
• Sarah Evans, FNP
• Thomas Victor Evans, MAE, EDS, NCSP
• Family Preservation Services, Inc
• Family Preservation Services, Inc
• Arielle Renee Fannon, NP
• Deidra Fisher-Taylor, LCSW
• Frontier Health
• Frontier Health
• Kathryn Michele Gamble

• All providers in Jonesville, VA
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.