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Organization Active NPI

Bon Secours Virginia Medical Group I, LLC

Doing business as Bon Secours Behavioral Health Group

  • Psychologist
  • Richmond, VA
National Provider Identifier
1457788358
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
BON SECOURS VIRGINIA MEDICAL GROUP I, LLC
Doing business as
Bon Secours Behavioral Health Group
Practice address
1510 N 28TH St
Suite 101
Richmond, VA 23223-5311
Phone
(804) 371-1670
Fax
(804) 371-1671
NPI assigned
Oct 9, 2013
Last updated
Oct 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Authorized official

Name
George Butler
Title
Director Corporate Responsibility
Phone
(804) 281-0271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1510 N 28TH St
Suite 101
Richmond, VA 23223-5311

Mailing address

1510 N 28TH St
Suite 101
Richmond, VA 23223-5311
Phone (804) 371-1670

Other names 1

  • Bon Secours Behavioral Health Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bon Secours Virginia Medical Group I LLC20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1457788358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 N 28TH ST",
            "address_2": "SUITE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232235311",
            "telephone_number": "804-371-1670",
            "fax_number": "804-371-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 N 28TH ST",
            "address_2": "SUITE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232235311",
            "telephone_number": "804-371-1670",
            "fax_number": "804-371-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS VIRGINIA MEDICAL GROUP I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "DIRECTOR CORPORATE RESPONSIBILITY",
        "authorized_official_telephone_number": "804-281-0271"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Behavioral Health Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.