Active NPI
Norfolk Crisis Stabilization Program
- Community/Behavioral Health Agency
- Norfolk, VA
National Provider Identifier
1124562244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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 BOARD
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Paramedi
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulance
- Norfolk, VA
- NPI 1114977816
-
- Psychiatry Physician
- Norfolk, VA
- NPI 1710281803
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
- Mary Noonan
- Nicole Nordan, M.S.ED, LPC
- Norfolk Chiropractic Center Inc
- Norfolk City Public Schools
- Norfolk Community Health Center Inc
- Norfolk Dental Surgical Center
- Norfolk Department of Public Health
- Norfolk Department of Public Health
- Norfolk Department of Public Health
- Norfolk Eye Physicians & Surgeons
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.