Teen Option, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

1528-14-001 Issued in VA

Legal business name

TEEN OPTION, INC.

Practice address

6721 Gills Gate CT
Chesterfield, VA 23832-6005

Phone

(804) 745-8070

Fax

(804) 745-7554

NPI assigned

Nov 20, 2009

Last updated

Nov 20, 2009By 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

Dr. A John Bamisile

Title

Ceo

Phone

(804) 745-8070

Specialties & licenses 4

Addresses

Tax ID family

Teen Option Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Teen Option, Inc.

  • Community/Behavioral Health Agency
  • Richmond, VA
  • NPI 1235461849
  NPD tax ID

Locations

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1568790178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6432 ELKHARDT RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232257819",
            "telephone_number": "804-745-8070",
            "fax_number": "804-745-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6721 GILLS GATE CT",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326005",
            "telephone_number": "804-745-8070",
            "fax_number": "804-745-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEEN OPTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "BAMISILE",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-745-8070",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": "1528-14-001",
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": "1528-14-002",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "1528-14-001",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "1528-14-002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyra Tanner, DNP, RD, ANP, CNS
• America Taracena
• Jennifer H Taylor
• Sandi F. Taylor, LPC
• Teach the Spectrum LLC
• Kathleen Terry, FNP-C
• The Destin Group LLC
• The Meridian Group of Chesterfield
• The Village Children and Family Services, LLC
• Shana B Thell, MSW, LICSW

• Mental Illness Community Based Residential Treatment Facility in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Mental Illness Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.