Organization Active NPI

P.a.C Mental Health Services, LLC

  • Community/Behavioral Health Agency
  • Hampton, VA
National Provider Identifier
1629439047
Registry record updated Mar 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
P.A.C MENTAL HEALTH SERVICES, LLC
Practice address
522 Lasalle Ave
Hampton, VA 23661-1539
Phone
(757) 722-2878
NPI assigned
Mar 12, 2016
Last updated
Mar 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2016

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

Authorized official

Name
Ms. Christina Joronica Davis
Title
Ceo, Executive Director
Phone
(757) 722-2878

Specialties & licenses 1

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

Addresses

Primary practice location

522 Lasalle Ave
Hampton, VA 23661-1539

Mailing address

522 Lasalle Ave
Hampton, VA 23661-1539
Phone (757) 722-2878

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1457740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457740800000",
    "number": "1629439047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 LASALLE AVE",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236611539",
            "telephone_number": "757-722-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 LASALLE AVE",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236611539",
            "telephone_number": "757-722-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.A.C MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-12",
        "last_updated": "2016-03-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "JORONICA",
        "authorized_official_title_or_position": "CEO, EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "757-722-2878",
        "authorized_official_name_prefix": "Ms."
    },
    "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, 2016; 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.