Blackberry Ridge, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BLACKBERRY RIDGE, LLC

Practice address

1770 Earley Farm Rd
Amherst, VA 24521-3640

Phone

(434) 946-7070

NPI assigned

Nov 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Noel Brian Jewell, M.D.

Title

Psychiatric Director

Phone

(434) 946-7070

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1346527249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 EARLEY FARM RD",
            "city": "AMHERST",
            "state": "VA",
            "postal_code": "245213640",
            "telephone_number": "434-946-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 EARLEY FARM RD",
            "city": "AMHERST",
            "state": "VA",
            "postal_code": "245213640",
            "telephone_number": "434-946-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKBERRY RIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "JEWELL",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PSYCHIATRIC DIRECTOR",
        "authorized_official_telephone_number": "434-946-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Amherst, VA
• Substance Abuse Rehabilitation Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.