Active NPI
Brain Injury Connections of the Shenandoah Valley
- Brain Injury Medicine (Psychiatry & Neurology) Physician
- Harrisonburg, VA
National Provider Identifier
1184408056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Brain Injury Medicine (Psychiatry & Neurology) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Brain Injury Medicine (Psychiatry & Neurology) Physician | 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 DirectoryLocations
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.