Vstar Behavioral Health Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

VSTAR BEHAVIORAL HEALTH SERVICES

Practice address

126 E Main St Ste B
Union City, TN 38261-3350

Phone

(731) 599-9929

NPI assigned

Jan 17, 2023

Last updated

Jun 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Virgil WilliamsNPI 1114165339

Title

President & Ceo

Phone

(731) 599-9929

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Virgil Mearn Williams Jr.

  • Clinical Social Worker
  • West Bloomfield, MI
  • NPI 1114165339

  TN

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1336854041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E MAIN ST STE B",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382613350",
            "telephone_number": "731-599-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E MAIN ST STE B",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382613350",
            "telephone_number": "731-599-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VSTAR BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "731-599-9929"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison A Vallee, APRN
• Jennifer Renee Vancleave
• Paula M Vassar, NP
• Kara Vinyard
• Vip Transpotation
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0675)
• Wal-Mart Stores East, LP (Vision Center 30-0675)
• Walgreen Co (Walgreens #07983)
• Jessica Ward
• Linda Sue Watkins, RN

• Clinical Social Worker in Union City, TN
• Providers in Union City, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.