Organization Active NPI

Thomas Faragher

  • Mental Illness Community Based Residential Treatment Facility
  • Richmond, VA
National Provider Identifier
1487737086
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
0701003176 Issued in VA
Legal business name
THOMAS FARAGHER
Practice address
2419 Fon Du Lac Rd
Richmond, VA 23229-3323
Phone
(804) 440-7074
Fax
(804) 440-7075
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas Faragher, LPC, CSOTP
Title
Clinician
Phone
(804) 282-5644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 0701003176 VA Primary

Addresses

Primary practice location

2419 Fon Du Lac Rd
Richmond, VA 23229-3323

Mailing address

2419 Fon Du Lac Rd
Richmond, VA 23229-3323
Phone (804) 440-7074

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487737086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 FON DU LAC RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232293323",
            "telephone_number": "804-440-7074",
            "fax_number": "804-440-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 FON DU LAC RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232293323",
            "telephone_number": "804-440-7074",
            "fax_number": "804-440-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS FARAGHER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARAGHER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "804-282-5644",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, CSOTP"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": "0701003176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.