NPIMap

Organization Active NPI

Commonwealth of Virginia Department of Behavioral Health and Southern

Doing business as Southern Virginia Mental Health Institute

  • Hospitalist Physician
  • Danville, VA
National Provider Identifier
1386704898
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVIORAL HEALTH AND SOUTHERN
Doing business as
Southern Virginia Mental Health Institute
Practice address
382 Taylor Dr
Danville, VA 24541-4023
Phone
(434) 799-6220
Fax
(434) 791-5403
NPI assigned
Dec 12, 2006
Last updated
Jun 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Authorized official

Name
Mr. William Neal Cook, MS, LPC
Title
Facility Director
Phone
(434) 773-4230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X VA Primary

Addresses

Primary practice location

382 Taylor Dr
Danville, VA 24541-4023

Mailing address

382 Taylor Dr
Danville, VA 24541-4023
Phone (434) 799-6220

Other names 1

  • Southern Virginia Mental Health Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040716000396 VA Part B Supplier - Clinic/Group Practice 3173502713 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: Danville, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth of Virginia Department of Behavioral Health and Southern2 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.

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1386704898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 TAYLOR DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414023",
            "telephone_number": "434-799-6220",
            "fax_number": "434-791-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 TAYLOR DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414023",
            "telephone_number": "434-799-6220",
            "fax_number": "434-791-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVIORAL HEALTH AND SOUTHERN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "434-773-4230",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Virginia Mental Health Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.