Family Medical Practitioners

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FAMILY MEDICAL PRACTITIONERS

Practice address

1147 Independence Blvd
Virignia Beach, VA 23455

Phone

(757) 460-1207

Fax

(757) 460-2136

NPI assigned

Aug 17, 2009

Organization subpart

No

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

Authorized official

Name

Stephanie A Eubank, M.A. DAPANPI 1477553683

Title

Practice Coordinator/VP

Phone

(757) 460-1207

Specialties & licenses 1

Addresses

Other names 1

• FMP Behavioral Health Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie A Eubank, MA

  • Mental Health Counselor
  • Virginia Beach, VA
  • NPI 1477553683
  NPD Authorized official

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1245462746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 INDEPENDENCE BLVD",
            "city": "VIRIGNIA BEACH",
            "state": "VA",
            "postal_code": "23455",
            "telephone_number": "757-460-1207",
            "fax_number": "757-460-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 INDEPENDENCE BLVD",
            "city": "VIRIGNIA BEACH",
            "state": "VA",
            "postal_code": "23455",
            "telephone_number": "757-460-1207",
            "fax_number": "757-460-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL PRACTITIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "EUBANK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE COORDINATOR/VP",
        "authorized_official_telephone_number": "757-460-1207",
        "authorized_official_credential": "M.A. DAPA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FMP Behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.