Organization Active NPI

Creative Approach Development Center, LLC

  • Developmentally Disabled Services Day Training Agency
  • Henrico, VA
National Provider Identifier
1427410711
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CREATIVE APPROACH DEVELOPMENT CENTER, LLC
Practice address
2819 N Parham Rd Ste 150
Henrico, VA 23294-4452
Phone
(804) 876-2115
Fax
(804) 386-6899
NPI assigned
Mar 24, 2016
Last updated
Apr 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Authorized official

Name
Dr. Zipporah Lee Levi-Shackleford, PBSF
Title
Founder, Behavior and Education Co
Phone
(804) 876-2115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

2819 N Parham Rd Ste 150
Henrico, VA 23294-4452

Mailing address

2819 N Parham Rd Ste 150
Henrico, VA 23294-4452
Phone (804) 876-2115

National Provider Directory

National Provider Directory

Locations

2819 N Parham Rd
Ste 150
Henrico, VA 23294
Phone (804) 876-2115

2120 Staples Mill Rd
Ste 203
Richmond, VA 23230

Practitioners & affiliated clinicians

Practitioners 1

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": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1427410711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 N PARHAM RD STE 150",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944452",
            "telephone_number": "804-876-2115",
            "fax_number": "804-386-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 N PARHAM RD STE 150",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944452",
            "telephone_number": "804-876-2115",
            "fax_number": "804-386-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE APPROACH DEVELOPMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "LEVI-SHACKLEFORD",
        "authorized_official_first_name": "ZIPPORAH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "FOUNDER, BEHAVIOR AND EDUCATION CO",
        "authorized_official_telephone_number": "804-876-2115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PBSF"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.