Organization Active NPI

Berry Mental Support Services

  • Mental Illness Community Based Residential Treatment Facility
  • Roanoke, VA
National Provider Identifier
1477790038
Registry record updated Jan 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
BERRY MENTAL SUPPORT SERVICES
Practice address
5307 Twilight Rd
Roanoke, VA 24019-2521
Phone
(540) 397-1407
NPI assigned
Jan 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2009

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

Authorized official

Name
Robin Karen Berry
Title
Coo
Phone
(540) 397-1407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X VA Primary

Addresses

Primary practice location

5307 Twilight Rd
Roanoke, VA 24019-2521

Mailing address

PO Box 14172
Roanoke, VA 24038-4172
Phone (540) 397-1407

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232323200000",
    "number": "1477790038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14172",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240384172",
            "telephone_number": "540-397-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5307 TWILIGHT RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240192521",
            "telephone_number": "540-397-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRY MENTAL SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-01-19",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "KAREN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "540-397-1407"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; 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.