Lakeview Virginia Neurocare

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

864 Issued in VA

Legal business name

LAKEVIEW VIRGINIA NEUROCARE

Practice address

1101 E High St
Charlottesville, VA 22902-4857

Phone

(434) 984-5218

Fax

(424) 293-2041

NPI assigned

Jun 1, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jody Crowley, MS, CBIS

Title

Vice President of Operations,East

Phone

(781) 356-6330

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Drew Levine, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Charlottesville, VA
  • NPI 1578764908
  NPD (past)
• Barbara L. Nidiffer, OT/L

  • Occupational Therapist
  • Charlottesville, VA
  • NPI 1639366008
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1598967762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 HIGHLAND MANOR DR STE 140",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336109712",
            "telephone_number": "813-626-1444",
            "fax_number": "813-626-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E HIGH ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024857",
            "telephone_number": "434-984-5218",
            "fax_number": "424-293-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW VIRGINIA NEUROCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS,EAST",
        "authorized_official_telephone_number": "781-356-6330",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, CBIS"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle E Ladie, MD
• Meilin Kristine Ladines-Lim, MD
• Tyler Ladner
• Laura Laffond, PT
• Hannah Laird, MD
• Simren Lakhotia
• Rohan Lal, MD
• Vatsal Pankuj Lal, MD
• Alan Lam, RPH
• Ellen U Lam, PA-C

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.