Organization Active NPI

Bebold Recovery LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norfolk, VA
National Provider Identifier
1497593701
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Jul 19, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.