Keystone Newport News

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

0701006865 Issued in VA

Legal business name

KEYSTONE NEWPORT NEWS

Doing business as

Newport News Behavioral Health Center

Practice address

17579 Warwick Blvd
Newport News, VA 23603-1343

Phone

(757) 888-0400

Fax

(757) 888-0359

NPI assigned

Nov 28, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Larry Kirkland

Title

Ceo

Phone

(757) 888-0400

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Newport News Behavioral Health Center Doing business as

Tax ID family

Keystone Newport News2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Keystone Newport News, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Newport News, VA
  • NPI 1356360580
  NPD tax ID

Locations

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1306389184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17579 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236031343",
            "telephone_number": "757-888-0400",
            "fax_number": "757-888-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17579 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236031343",
            "telephone_number": "757-888-0400",
            "fax_number": "757-888-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE NEWPORT NEWS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "KIRKLAND",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-888-0400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": "0701006865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050500200",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newport News Behavioral Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Newport News Behavioral Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brent Robert Kerrick, PHARM D
• Charles Ronald Kersh, MD
• Connie Swartz Ketten, M.D.
• Youngshin Keum
• Joelle Lynn Keyser, CRNP
• Keystone Newport News, LLC
• Jawwad Jahangir Khan, M.D.
• Mehtab Singh Khara
• Anwar Khedr, MBCHB
• Jonathan Khoury, M.D.

• Mental Illness Community Based Residential Treatment Facility in Newport News, VA
• Providers in Newport News, VA by specialty
• Mental Illness Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.