Active NPI
Arts for Replenishment and Change, PLLC
- Psychologist
- Richmond, VA
National Provider Identifier
1104067495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0810002538
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089494 | Other | OPTIMA HEALTH | |
| 11617310 | Other | CAQH | |
| 61-90123 | Other | OPTIMUM CHOICE | |
| 089494 | Other | SENTARA | |
| 010324122 | Medicaid | VA | |
| 1255361200 | Other | VA | NPI |
| 61-90123 | Other | UBH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychologist
- Richmond, VA
- NPI 1255361200
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.