Divind Behavioral Services,Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

DIVIND BEHAVIORAL SERVICES,INC

Practice address

13813 Warwick Blvd
200
Newport News, VA 23602-3755

Phone

(757) 833-6291

NPI assigned

May 19, 2009

Organization subpart

No

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

Authorized official

Name

Sara Pacita Goddard

Title

Owner

Phone

(757) 833-6291

Specialties & licenses 1

Addresses

Tax ID family

Divind Behavioral Servicesinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Divine Behavioral Services Inc.

  • Community/Behavioral Health Agency
  • College Park, GA
  • NPI 1669772323
  NPD tax ID

Locations

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1073748190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13813 WARWICK BLVD",
            "address_2": "200",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23602",
            "telephone_number": "757-833-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13813 WARWICK BLVD",
            "address_2": "200",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236023755",
            "telephone_number": "757-833-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVIND BEHAVIORAL SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "GODDARD",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "PACITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-833-6291"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy O Dinonno, GENETIC COUNSELOR
• Michelle Renee Dipasquale, AGACNP-BC
• Direct Home Health Care Inc
• David Raymond Ditman
• Alyssa Divinagarcia
• Divine Behavioral Services
• Divine Care Collective LLC
• Divine Connection Home Care, LLC
• Divine Health Care Inc.
• Divine Home Care Providers, LLC

• Mental Illness Community Based Residential Treatment Facility in Newport News, VA
• Providers in Newport News, VA by specialty
• Mental Illness Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.