East End Academy, Inc

Primary specialty

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

License

320 Issued in VA

Legal business name

EAST END ACADEMY, INC

Practice address

2000 27TH St
Newport News, VA 23607-4912

Phone

(757) 247-0039

Fax

(757) 247-0158

NPI assigned

Sep 17, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jacqueline Carlethia Cooper

Title

Accounts Receivable Manager

Phone

(757) 247-0039

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• East End Academy Inc Southside

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norfolk, VA
  • NPI 1578798849
  NPPES parent name

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356448930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 27TH ST",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236074912",
            "telephone_number": "757-247-0039",
            "fax_number": "757-247-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 27TH ST",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236074912",
            "telephone_number": "757-247-0039",
            "fax_number": "757-247-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST END ACADEMY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "CARLETHIA",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE MANAGER",
        "authorized_official_telephone_number": "757-247-0039",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VA",
            "license": "320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Newport News, VA
• Providers in Newport News, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.