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
- Last updated
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Prince George, VA
- NPI 1154503217
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.