NPIMap

Organization Active NPI

Prevention Services of Virginia, LLC

  • Community/Behavioral Health Agency
  • Richmond, VA
National Provider Identifier
1518379072
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2115 Issued in VA
Legal business name
PREVENTION SERVICES OF VIRGINIA, LLC
Practice address
3600 W Broad St
#233
Richmond, VA 23230-4915
Phone
(757) 472-5143
NPI assigned
Jun 2, 2014
Last updated
Jun 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Miss Kinlee Deatricee StewartNPI 1578974788
Title
Owner
Phone
(757) 472-5143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2115 VA Primary

Addresses

Primary practice location

3600 W Broad St
#233
Richmond, VA 23230-4915

Mailing address

3600 W Broad St
#233
Richmond, VA 23230-4915
Phone (757) 472-5143

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1518379072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W BROAD ST",
            "address_2": "#233",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304915",
            "telephone_number": "757-472-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W BROAD ST",
            "address_2": "#233",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304915",
            "telephone_number": "757-472-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTION SERVICES OF VIRGINIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KINLEE",
        "authorized_official_middle_name": "DEATRICEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-472-5143",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "2115",
            "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 Jun 2, 2014; 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.