Organization Active NPI

Brain Injury Connections of the Shenandoah Valley

  • Brain Injury Medicine (Psychiatry & Neurology) Physician
  • Harrisonburg, VA
National Provider Identifier
1184408056
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Brain Injury Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P0301X
Legal business name
BRAIN INJURY CONNECTIONS OF THE SHENANDOAH VALLEY
Practice address
755 Martin Luther King, Jr. Way
MSC 9020
Harrisonburg, VA 22807
Phone
(540) 568-8923
Fax
(540) 492-5587
NPI assigned
Aug 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Mrs. Stacey Lee Weakley
Title
Administrative Director
Phone
(540) 568-8923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Brain Injury Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0301X Primary

Addresses

Primary practice location

755 Martin Luther King, Jr. Way
MSC 9020
Harrisonburg, VA 22807

Mailing address

755 Martin Luther King, Jr. Way
MSC 9020
Harrisonburg, VA 22807
Phone (540) 568-8923

National Provider Directory

National Provider Directory

Locations

755 Martin Luther King Jr Way
Harrisonburg, VA 22807
Phone (540) 568-6687

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1184408056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MARTIN LUTHER KING, JR. WAY",
            "address_2": "MSC 9020",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "22807",
            "telephone_number": "540-568-8923",
            "fax_number": "540-492-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MARTIN LUTHER KING, JR. WAY",
            "address_2": "MSC 9020",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "22807",
            "telephone_number": "540-568-8923",
            "fax_number": "540-492-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN INJURY CONNECTIONS OF THE SHENANDOAH VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "WEAKLEY",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "540-568-8923",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0301X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Brain Injury Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.