Active NPI
Thomas Faragher
- Mental Illness Community Based Residential Treatment Facility
- Richmond, VA
National Provider Identifier
1487737086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 0701003176
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.