Bellwether Behavioral of Virginia, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

2666 Issued in VA

Legal business name

BELLWETHER BEHAVIORAL OF VIRGINIA, LLC

Practice address

9932 Main St
Fairfax, VA 22031-3901

Phone

(302) 365-8050

NPI assigned

Sep 8, 2015

Last updated

Aug 18, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

GI ADVO OPCO, LLCAs reported in NPPES

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

Authorized official

Name

Kathleen Shea

Title

Chief Financial Officer

Phone

(302) 365-8050

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503014400000",
    "number": "1366810392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 WRANGLE HILL RD",
            "address_2": "SUITE 200",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197013849",
            "telephone_number": "302-365-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9932 MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313901",
            "telephone_number": "302-365-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLWETHER BEHAVIORAL OF VIRGINIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GI ADVO OPCO, LLC",
        "enumeration_date": "2015-09-08",
        "last_updated": "2017-08-18",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "302-365-8050"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0701006290",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "2666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nakiara Bell, RN, IBCLC
• Rosemary Bell
• Maureen Bellingham
• Dominic Bello
• Andrea Bellorin
• Jeanette Beloy
• Justice Belton
• Sharon Belton
• Kisha Jeaul Beltran, OTR/L
• Beltway ABA

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; 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.