NPIMap

Organization Active NPI

James Bentley Treatment Program

  • Community/Behavioral Health Agency
  • Portsmouth, VA
National Provider Identifier
1396022323
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
78203001 Issued in VA
Legal business name
JAMES BENTLEY TREATMENT PROGRAM
Practice address
1520 High St
Portsmouth, VA 23704-3210
Phone
(757) 399-4742
NPI assigned
Nov 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Mrs. Sandra Pinnock
Title
President
Phone
(757) 399-4742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 78203001 VA Primary

Addresses

Primary practice location

1520 High St
Portsmouth, VA 23704-3210

Mailing address

1520 High St
Portsmouth, VA 23704-3210
Phone (757) 399-4742

Other identifiers 1

IdentifierTypeStateIssuer
78203001MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
James Bentley Treatment Program5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1520 High St
Portsmouth, VA 23704
Phone (757) 399-4742

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1396022323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 HIGH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043210",
            "telephone_number": "757-399-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 HIGH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043210",
            "telephone_number": "757-399-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES BENTLEY TREATMENT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "PINNOCK",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-399-4742",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "78203001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78203001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.