Organization Active NPI

Community Mental Health

  • Community/Behavioral Health Agency
  • Richmond, VA
National Provider Identifier
1497188445
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1351-192 Issued in VA
Legal business name
COMMUNITY MENTAL HEALTH
Practice address
3806 Jefferson Davis Hwy
Richmond, VA 23234-2632
Phone
(804) 447-2138
NPI assigned
Aug 14, 2013
Last updated
Aug 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Authorized official

Name
Mr. Kevin White
Title
Ceo
Phone
(804) 405-7175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1351-192 VA Primary

Addresses

Primary practice location

3806 Jefferson Davis Hwy
Richmond, VA 23234-2632

Mailing address

PO Box 37033
North Chesterfield, VA 23234-7033

Other identifiers 1

IdentifierTypeStateIssuer
1351MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1497188445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37033",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232347033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 JEFFERSON DAVIS HWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232342632",
            "telephone_number": "804-447-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-405-7175",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1351-192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1351",
            "state": "VA"
        }
    ],
    "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 14, 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.