Hampton Roads Youth Center

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

SS-241-06 Issued in VA

Legal business name

HAMPTON ROADS YOUTH CENTER

Practice address

275 Kenyon Rd
Suite B
Suffolk, VA 23434-7450

Phone

(757) 923-4948

Fax

(757) 923-4949

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Denise Rae Mullins, LCSW, CSAC

Title

Chief Executive Officer

Phone

(757) 923-4948

Specialties & licenses 1

Addresses

Tax ID family

Hampton Roads Youth Center2 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.

• Hampton Roads Youth Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Suffolk, VA
  • NPI 1417136466
  NPD tax ID

Locations

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1104006055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 KENYON RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234347450",
            "telephone_number": "757-923-4948",
            "fax_number": "757-923-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 KENYON RD",
            "address_2": "SUITE B",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234347450",
            "telephone_number": "757-923-4948",
            "fax_number": "757-923-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON ROADS YOUTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "757-923-4948",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, CSAC"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "VA",
            "license": "SS-241-06",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Scott Hamlin, LPC
• Rose Mary Hamlin
• Kathleen Hollis Hammonds, MD
• Hampton Roads Lactation, LLC
• Hampton Roads Orthopaedic & Sports Medicine LLC
• Hampton Roads Youth Center
• Olivia Hampton, MS, CCC-SLP
• Rachel Hancock
• Arland Owen Haney, PT
• Hanger Prosthetics & Orthotics Inc (Hanger Clinic)

• Emotionally Disturbed Childrens' Residential Treatment Facility in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.