Active NPI
Matriarch Community Services
Doing business as Matriarch Community Health Services Corporation
- Community/Behavioral Health Agency
- Carrollton, VA
National Provider Identifier
1609643501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MATRIARCH COMMUNITY SERVICES
- Doing business as
- Matriarch Community Health Services Corporation
- Practice address
- 13289 Woodlake Dr
Carrollton, VA 23314-3316 - Phone
- (757) 277-2049
- NPI assigned
- Dec 11, 2023
- Last updated
- Dec 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Saran Day
- Title
- President
- Phone
- (757) 277-2049
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
13289 Woodlake Dr
Carrollton, VA 23314-3316
Mailing address
13289 Woodlake Dr
Carrollton, VA 23314-3316
Phone (757) 277-2049
Other names 1
- Matriarch Community Health Services Corporation
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Mental Health Counselor
- Carrollton, VA
- NPI 1295502185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702252800000",
"number": "1609643501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13289 WOODLAKE DR",
"city": "CARROLLTON",
"state": "VA",
"postal_code": "233143316",
"telephone_number": "757-277-2049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13289 WOODLAKE DR",
"city": "CARROLLTON",
"state": "VA",
"postal_code": "233143316",
"telephone_number": "757-277-2049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATRIARCH COMMUNITY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-11",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A",
"authorized_official_last_name": "DAY",
"authorized_official_first_name": "SARAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "757-277-2049"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Matriarch Community Health Services Corporation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carrollton, VA
- Meng Liu, DPM
- Bartholomew Michael Lopresti, M.D.
- Ashley Marie Lyons
- Donna Marchant-Roof, LCSW
- Maryview Hospital (Eagle Harbor Medical Associates)
- Elizabeth Rogers McGowan, FNP
- Marcus James Miller, CRT
- Mind MD (Lotus Health PC)
- Mind MD (Lotus Health PC)
- Mliu Sdaters PLLC (Os Wight Foot and Ankle Institute)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.