Organization Active NPI

The Center for Emotional Care & Chemical Dependency

Doing business as The Center

  • Psychiatry Physician
  • Salem, VA
National Provider Identifier
1427066026
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
THE CENTER FOR EMOTIONAL CARE & CHEMICAL DEPENDENCY
Doing business as
The Center
Practice address
400 E Burwell St
Salem, VA 24153-4338
Phone
(540) 387-3105
Fax
(540) 387-3653
NPI assigned
Aug 3, 2006
Last updated
Jun 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Authorized official

Name
Mrs. Angie Deacon
Title
Insurance Coordinator
Phone
(540) 387-3105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

400 E Burwell St
Salem, VA 24153-4338

Mailing address

400 E Burwell St
Salem, VA 24153-4338
Phone (540) 387-3105

Other names 1

  • The Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040521000565 VA Part B Supplier - Clinic/Group Practice 9638160203 Receives reassigned benefits from 8 practitioners
Practice locations: Salem, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1427066026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E BURWELL ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241534338",
            "telephone_number": "540-387-3105",
            "fax_number": "540-387-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E BURWELL ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241534338",
            "telephone_number": "540-387-3105",
            "fax_number": "540-387-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR EMOTIONAL CARE & CHEMICAL DEPENDENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "DEACON",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "540-387-3105",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.