Organization Active NPI

Arts for Replenishment and Change, PLLC

  • Psychologist
  • Richmond, VA
National Provider Identifier
1104067495
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810002538 Issued in VA
Legal business name
ARTS FOR REPLENISHMENT AND CHANGE, PLLC
Practice address
530 E Main St Ste 420
Richmond, VA 23219-2431
Phone
(804) 305-2295
Fax
(804) 525-5656
NPI assigned
Mar 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Authorized official

Name
Dr. Anne (Annie) Ready Coffey, PSY.D.NPI 1255361200
Title
Founder
Phone
(804) 305-2295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 0810002538 VA Primary

Addresses

Primary practice location

530 E Main St Ste 420
Richmond, VA 23219-2431

Mailing address

530 E Main St Ste 420
Richmond, VA 23219-2431
Phone (804) 305-2295

Other identifiers 7

IdentifierTypeStateIssuer
089494OtherOPTIMA HEALTH
11617310OtherCAQH
61-90123OtherOPTIMUM CHOICE
089494OtherSENTARA
010324122MedicaidVA
1255361200OtherVANPI
61-90123OtherUBH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180223000966 VA Part B Supplier - Clinic/Group Practice 7012278674 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, VA

National Provider Directory

National Provider Directory

Locations

530 E Main St
Ste 420
Richmond, VA 23219
Phone (804) 305-2295

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1104067495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E MAIN ST STE 420",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232192431",
            "telephone_number": "804-305-2295",
            "fax_number": "804-525-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E MAIN ST STE 420",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232192431",
            "telephone_number": "804-305-2295",
            "fax_number": "804-525-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTS FOR REPLENISHMENT AND CHANGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "ANNE (ANNIE)",
        "authorized_official_middle_name": "READY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "804-305-2295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810002538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH",
            "identifier": "089494",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11617310",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE",
            "identifier": "61-90123",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "089494",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010324122",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255361200",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "61-90123",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.