NPIMap

Organization Active NPI

Greater Community Clinical Services

  • Community/Behavioral Health Agency
  • Midlothian, VA
National Provider Identifier
1154956746
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GREATER COMMUNITY CLINICAL SERVICES
Practice address
13030 Queensgate Rd
Midlothian, VA 23114-4470
Phone
(804) 878-3839
NPI assigned
Mar 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Ms. Nichole Aura PhillipsNPI 1467981316
Title
Owner/Ceo
Phone
(804) 878-3839

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 1

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

Addresses

Primary practice location

13030 Queensgate Rd
Midlothian, VA 23114-4470

Mailing address

13030 Queensgate Rd
Midlothian, VA 23114-4470
Phone (804) 878-3839

National Provider Directory

National Provider Directory

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": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1154956746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13030 QUEENSGATE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144470",
            "telephone_number": "804-878-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13030 QUEENSGATE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144470",
            "telephone_number": "804-878-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER COMMUNITY CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "AURA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "804-878-3839",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.