NPIMap

Organization Active NPI

Centre Pointe Health- Psychiatric Services

  • Clinic/Center
  • Fredericksburg, VA
National Provider Identifier
1124304894
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0101237800 Issued in VA
Legal business name
CENTRE POINTE HEALTH- PSYCHIATRIC SERVICES
Practice address
3920 Plank Rd
Suite 120
Fredericksburg, VA 22407-7104
Phone
(540) 242-4141
Fax
(540) 786-2396
NPI assigned
Oct 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Dr. Ruby Thomas, M.D.
Title
President
Phone
(540) 242-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0101237800 VA Primary

Addresses

Primary practice location

3920 Plank Rd
Suite 120
Fredericksburg, VA 22407-7104

Mailing address

3920 Plank Rd
Suite 120
Fredericksburg, VA 22407-7104
Phone (540) 242-4141

Other identifiers 1

IdentifierTypeStateIssuer
1497705032OtherVANPPES

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1124304894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 PLANK RD",
            "address_2": "SUITE 120",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224077104",
            "telephone_number": "540-242-4141",
            "fax_number": "540-786-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 PLANK RD",
            "address_2": "SUITE 120",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224077104",
            "telephone_number": "540-242-4141",
            "fax_number": "540-786-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE POINTE HEALTH- PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-242-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0101237800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1497705032",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.