Organization Active NPI

Radical Recovery Treatment Center Inc

  • Psychiatry Physician
  • Norfolk, VA
National Provider Identifier
1053945428
Registry record updated Mar 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
RADICAL RECOVERY TREATMENT CENTER INC
Practice address
9323 Sloane St Ste C
Norfolk, VA 23503-4329
Phone
(757) 524-5544
Fax
(833) 606-0190
NPI assigned
Feb 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2023

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

Authorized official

Name
Dr. Faisal Awadalla Awadelkarim, MD
Title
Ceo
Phone
(804) 502-8035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

9323 Sloane St Ste C
Norfolk, VA 23503-4329

Mailing address

9323 Sloane St
Norfolk, VA 23503-4329
Phone (804) 502-8035

National Provider Directory

National Provider Directory

Locations

5040 Virginia Beach Blvd
Ste 104
Virginia Beach, VA 23462
Phone (804) 502-8035

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22159/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679184000000",
    "number": "1053945428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9323 SLOANE ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235034329",
            "telephone_number": "804-502-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9323 SLOANE ST STE C",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235034329",
            "telephone_number": "757-524-5544",
            "fax_number": "833-606-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADICAL RECOVERY TREATMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2023-03-19",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "AWADELKARIM",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_middle_name": "AWADALLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-502-8035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2023; 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.