Ms. Polly'S Kidz

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

233705001 Issued in VA

Legal business name

MS. POLLY'S KIDZ

Practice address

1356 25TH St
Newport News, VA 23607-4826

Phone

(757) 244-1500

Fax

(757) 244-1775

NPI assigned

Aug 25, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Monique Lewis

Title

Director

Phone

(757) 244-1500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1285180752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 25TH ST",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236074826",
            "telephone_number": "757-244-1500",
            "fax_number": "757-244-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 25TH ST",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236074826",
            "telephone_number": "757-244-1500",
            "fax_number": "757-244-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS. POLLY'S KIDZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-244-1500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "233705001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.