Prosperity Eating Disorder and Wellness

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PROSPERITY EATING DISORDER AND WELLNESS

Practice address

709 W Main St
Charlottesville, VA 22903-4570

Phone

(434) 326-4577

NPI assigned

Jun 1, 2016

Last updated

Jun 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather Baker, LCSW

Title

Director

Phone

(434) 326-4577

Specialties & licenses 3

Addresses

Tax ID family

Prosperity Eating Disorder and Wellness4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Prosperity Eating Disorder and Wellness

  • Adolescent and Children Mental Health Clinic/Center
  • Reston, VA
  • NPI 1043613474
  NPD tax ID
• Prosperity Eating Disorder and Wellness

  • Counselor
  • Herndon, VA
  • NPI 1073048302
  NPD tax ID
• Prosperity Eating Disorder and Wellness

  dba Prosperity/Norfolk

  • Adolescent and Children Mental Health Clinic/Center
  • Norfolk, VA
  • NPI 1225709413
  NPD tax ID

Locations

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1396193157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 STERLING RD STE 203",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201703873",
            "telephone_number": "703-446-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W MAIN ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034570",
            "telephone_number": "434-326-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY EATING DISORDER AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "434-326-4577",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prompt Care Inc
• Proper Focus Inc.
• Rose Propes, M.A., CCC-SLP
• Tristen Propes
• Blase A Prosperi, MD
• George Stephen Prousi, M.D.
• Jose J Provencio, M.D.
• Providential Homecare
• Bruce E. Prum Jr.
• Tyler Stephen Prusisz, MD

• Clinic/Center in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.