Dominion Behavioral Healthcare

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DOMINION BEHAVIORAL HEALTHCARE

Practice address

5931 Harbour Park Drive
Midlothian, VA 23112

Phone

(804) 639-1136

Fax

(804) 639-5584

NPI assigned

May 23, 2006

Last updated

Apr 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Samuel Falk, PHDNPI 1730133554

Title

Vice President

Phone

(804) 639-1136

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dominion Behavioral Healthcare

  • Clinical Psychologist
  • Richmond, VA
  • NPI 1043262215

  O20051031000975

  Same enrollment
• Dominion Behavioral Healthcare

  • Mental Health Counselor
  • Richmond, VA
  • NPI 1427075449

  O20051031000975

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Samuel Falk, PHD

  • Clinical Psychologist
  • Richmond, VA
  • NPI 1730133554
  Authorized official Same address or phone

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1144275603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5931 HARBOUR PARK DRIVE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23112",
            "telephone_number": "804-639-1136",
            "fax_number": "804-639-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5931 HARBOUR PARK DRIVE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23112",
            "telephone_number": "804-639-1136",
            "fax_number": "804-639-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "FALK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "804-639-1136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanna Mulas Dodd, RPH
• Margaret A Dolan, M.D.
• Martin Henninger Dominguez, DPT
• Maryann Theresa Dominguez, PT
• Caroline Anne Dominick
• Dominion Foot and Ankle Center,LTD.
• Dominion Healthcare Resources, Inc. (Neb Doctors of VA)
• Mary Nell Donahue
• Ryan T Donahue, PA-C
• Donald G. Trawick, D.D.S., PC

• Clinical Psychologist in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.