Organization Active NPI

Forensic and Mental Health Services, LLC

  • Community/Behavioral Health Agency
  • Prince George, VA
National Provider Identifier
1174705248
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FORENSIC AND MENTAL HEALTH SERVICES, LLC
Practice address
6610 Commons Dr
Ste 103
Prince George, VA 23875-2528
Phone
(804) 722-0620
Fax
(804) 722-0621
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Dr. Lisa Bethany Magazine, PHD
Title
Owner/Manager/Psychologist
Phone
(804) 722-0620

Specialties & licenses 1

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

Addresses

Primary practice location

6610 Commons Dr
Ste 103
Prince George, VA 23875-2528

Mailing address

6610 Commons Dr
Ste 103
Prince George, VA 23875-2528
Phone (804) 722-0620

National Provider Directory

National Provider Directory

Locations

6610 Commons Dr
Ste 103
Prince George, VA 23875
Phone (804) 722-0620

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1174705248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 COMMONS DR",
            "address_2": "STE 103",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238752528",
            "telephone_number": "804-722-0620",
            "fax_number": "804-722-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 COMMONS DR",
            "address_2": "STE 103",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238752528",
            "telephone_number": "804-722-0620",
            "fax_number": "804-722-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORENSIC AND MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "MAGAZINE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "BETHANY",
        "authorized_official_title_or_position": "OWNER/MANAGER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "804-722-0620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince George, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.