Organization Active NPI

Village Youth and Family Services

  • Community/Behavioral Health Agency
  • Glen Allen, VA
National Provider Identifier
1164844635
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VILLAGE YOUTH AND FAMILY SERVICES
Practice address
564 Siena LN
Glen Allen, VA 23059-1115
Phone
(804) 551-7363
NPI assigned
Jan 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Authorized official

Name
Khidhra S Smith, LCSW
Title
Ceo/ Clinicial Director
Phone
(804) 551-7363

Specialties & licenses 1

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

Addresses

Primary practice location

564 Siena LN
Glen Allen, VA 23059-1115

Mailing address

564 Siena Lane
Glen Allen, VA 23059
Phone (804) 551-7363

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1164844635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 SIENA LANE",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "23059",
            "telephone_number": "804-551-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 SIENA LN",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230591115",
            "telephone_number": "804-551-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE YOUTH AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KHIDHRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO/ CLINICIAL DIRECTOR",
        "authorized_official_telephone_number": "804-551-7363",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.