Active NPI
Forensic and Mental Health Services, LLC
- Community/Behavioral Health Agency
- Prince George, VA
National Provider Identifier
1174705248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.