Rooted Behavioral Health Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ROOTED BEHAVIORAL HEALTH SERVICES

Practice address

129 N Saratoga St Ste 1
Suffolk, VA 23434-5255

Phone

(757) 539-5353

Fax

(757) 539-5399

NPI assigned

Oct 4, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Shahauna Latia Mallery, PMHNP-BC

Title

Owner

Phone

(757) 510-7101

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1487434601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N SARATOGA ST STE 1",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345255",
            "telephone_number": "757-539-5353",
            "fax_number": "757-539-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N SARATOGA ST STE 1",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345255",
            "telephone_number": "757-539-5353",
            "fax_number": "757-539-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "MALLERY",
        "authorized_official_first_name": "SHAHAUNA",
        "authorized_official_middle_name": "LATIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-510-7101",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ardedra Rochelle Rogers, PT
• Ashley Chanel Rogers, LPTA
• Jaelynn Rogers
• Nancy Crowder Rogerson, RPH
• Dixon M Rollins, M.D.
• Dakota Rorie
• Rosa'S Way Inc
• Marc J Rosenberg, MD
• Roses Health Solutions LLC
• Katherine Brooke Ross

• Community/Behavioral Health Agency in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.