NPIMap

Organization Active NPI

Family Preervation Services, Inc

  • Community/Behavioral Health Agency
  • Stafford, VA
National Provider Identifier
1174776959
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
158 02 029 Issued in VA
Legal business name
FAMILY PREERVATION SERVICES, INC
Practice address
800 Eustace Rd
Stafford, VA 22554-3794
Phone
(540) 372-1438
Fax
(540) 372-7071
NPI assigned
Oct 24, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Michael C Fidgeon
Title
Ceo
Phone
(540) 710-3085

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Family Preservation Services Inc (134 organizations share this tax ID)

Locations

800 Eustace Rd
Stafford, VA 22554
Phone (540) 372-1438

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 158 02 029 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

800 Eustace Rd
Stafford, VA 22554-3794

Mailing address

10304 Spotsylvania Ave
3Rd Floor
Fredericksburg, VA 22408-8602
Phone (540) 710-6085

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
158 02 029MedicaidVA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 24, 2008.

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1174776959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10304 SPOTSYLVANIA AVE",
            "address_2": "3RD FLOOR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088602",
            "telephone_number": "540-710-6085",
            "fax_number": "540-710-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 EUSTACE RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225543794",
            "telephone_number": "540-372-1438",
            "fax_number": "540-372-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PREERVATION SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "FIDGEON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-710-3085",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "158 02 029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158 02 029",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.