NPIMap

Organization Active NPI

Intercept Youth Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Chesterfield, VA
National Provider Identifier
1609905678
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
295-14-015 Issued in VA
Legal business name
INTERCEPT YOUTH SERVICES, INC.
Practice address
4220 Courthouse Rd
Chesterfield, VA 23832-7210
Phone
(804) 497-8171
Fax
(804) 497-8173
NPI assigned
Mar 5, 2007
Last updated
Mar 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Mr. Yolanda Winfield
Title
Cfo
Phone
(804) 807-1201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 295-14-015 VA Primary

Addresses

Primary practice location

4220 Courthouse Rd
Chesterfield, VA 23832-7210

Mailing address

5511 Staples Mill Rd Ste 102
Richmond, VA 23228-5445
Phone (804) 864-1320

Other names 1

  • Intercept Vision House Other name

National Provider Directory

National Provider Directory
Tax ID family
Intercept Youth Services Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1609905678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 STAPLES MILL RD STE 102",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232285445",
            "telephone_number": "804-864-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 COURTHOUSE RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238327210",
            "telephone_number": "804-497-8171",
            "fax_number": "804-497-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERCEPT YOUTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "WINFIELD",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "804-807-1201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "VA",
            "license": "295-14-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intercept Vision House",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Intercept Vision House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.