Active NPI
Bebold Recovery LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norfolk, VA
National Provider Identifier
1497593701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- BEBOLD RECOVERY LLC
- Practice address
- 957 W 21St St
Norfolk, VA 23517-1536 - Phone
- (845) 326-6160
- NPI assigned
- Jul 19, 2024
- 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
- Zvi Pershnowski
- Title
- Ceo/Owner
- Phone
- (845) 326-6160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
957 W 21St St
Norfolk, VA 23517-1536
Mailing address
957 W 21St St
Norfolk, VA 23517-1536
National Provider Directory
National Provider DirectoryLocations
957 W 21st St
Norfolk, VA 23517
Phone (757) 622-8358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721347200000",
"number": "1497593701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "957 W 21ST ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235171536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "957 W 21ST ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235171536",
"telephone_number": "845-326-6160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEBOLD RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-19",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A",
"authorized_official_last_name": "PERSHNOWSKI",
"authorized_official_first_name": "ZVI",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "845-326-6160"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.