Peninsula Behavioral Consulting

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0133000176 Issued in VA

Legal business name

PENINSULA BEHAVIORAL CONSULTING

Practice address

125 Semple Farm Rd
Apt 103
Hampton, VA 23666-1459

Phone

(757) 329-6790

NPI assigned

May 11, 2017

Last updated

May 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Meredith A Martin, BCBA, LBA

Title

Owner

Phone

(757) 329-6790

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1528594470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SEMPLE FARM RD",
            "address_2": "APT 103",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661459",
            "telephone_number": "757-329-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SEMPLE FARM RD",
            "address_2": "APT 103",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661459",
            "telephone_number": "757-329-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA BEHAVIORAL CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-329-6790",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0133000176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Center PC
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• Stephanie L Peglow, DO
• Jiten Ralph Peiris
• Peninsula Child & Family Services LLC
• Peninsula Cosmetic & Reconstructive Surgery Inc
• Peninsula Family Practice
• Peninsula Foot & Ankle Specialists PLC
• Peninsula Institute for Community Health Inc (Hampton Newport News Community Services Board)

• Community/Behavioral Health Agency in Hampton, VA
• Providers in Hampton, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.