NPIMap

Organization Active NPI

Uom, Inc

  • Community/Behavioral Health Agency
  • Portsmouth, VA
National Provider Identifier
1144747692
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UOM, INC
Practice address
3615 Victory Blvd Ste 105
Portsmouth, VA 23701-3419
Phone
(757) 399-0418
Fax
(757) 337-4274
NPI assigned
Aug 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Stacy CowardNPI 1053411686
Title
Administrator
Phone
(757) 399-0418

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

3615 Victory Blvd Ste 105
Portsmouth, VA 23701-3419

Mailing address

3615 Victory Blvd Ste 105
Portsmouth, VA 23701-3419
Phone (757) 399-0418

Other identifiers 1

IdentifierTypeStateIssuer
1144747692MedicaidVA

Other names 1

  • UOM, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

1122 London Blvd
Portsmouth, VA 23704
Phone (757) 581-3897

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1144747692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 VICTORY BLVD STE 105",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237013419",
            "telephone_number": "757-399-0418",
            "fax_number": "757-337-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 VICTORY BLVD STE 105",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237013419",
            "telephone_number": "757-399-0418",
            "fax_number": "757-337-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UOM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "COWARD",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-399-0418"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144747692",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UOM, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.