NPIMap

Organization Active NPI

Positive Support for Children With Autism, LLC

  • Community/Behavioral Health Agency
  • Hampton, VA
National Provider Identifier
1619422623
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
POSITIVE SUPPORT FOR CHILDREN WITH AUTISM, LLC
Practice address
4410 Claiborne SQ E Ste 233
Hampton, VA 23666-2072
Phone
(757) 788-8033
NPI assigned
Aug 19, 2016
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Sade TillmanNPI 1215664552
Title
Authorized Official
Phone
(757) 788-8033

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

4410 Claiborne SQ E Ste 233
Hampton, VA 23666-2072

Mailing address

4410 Claiborne SQ E Ste 233
Hampton, VA 23666-2072

National Provider Directory

National Provider Directory

Locations

2019 Cunningham Dr
Ste 105
Hampton, VA 23666
Phone (757) 778-8803

4410 Claiborne Sq E
Ste 233
Hampton, VA 23666
Phone (757) 788-8033

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1619422623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 CLAIBORNE SQ E STE 233",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 CLAIBORNE SQ E STE 233",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662072",
            "telephone_number": "757-788-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE SUPPORT FOR CHILDREN WITH AUTISM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "SADE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "757-788-8033"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.