Organization Active NPI

Norfolk Crisis Stabilization Program

  • Community/Behavioral Health Agency
  • Norfolk, VA
National Provider Identifier
1124562244
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NORFOLK CRISIS STABILIZATION PROGRAM
Practice address
7464 Tidewater Dr
Norfolk, VA 23505-3845
Phone
(757) 664-6679
NPI assigned
Dec 8, 2016
Organization subpart
Yes
Parent organization
NORFOLK COMMUNITY SERVICES BOARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Authorized official

Name
Mr. George Tucker, RN
Title
Nursing Supervisor
Phone
(757) 664-6679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7464 Tidewater Dr
Norfolk, VA 23505-3845

Mailing address

7464 Tidewater Dr
Norfolk, VA 23505-3845
Phone (757) 664-6679

National Provider Directory

National Provider Directory
Tax ID family
Norfolk Fore Paramedi3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1124562244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7464 TIDEWATER DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053845",
            "telephone_number": "757-664-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7464 TIDEWATER DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053845",
            "telephone_number": "757-664-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORFOLK CRISIS STABILIZATION PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORFOLK COMMUNITY SERVICES BOARD",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "NURSING SUPERVISOR",
        "authorized_official_telephone_number": "757-664-6679",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.