Active NPI
Clearr Vissions Support Services, Inc,
- Community/Behavioral Health Agency
- Richmond, VA
National Provider Identifier
1639508559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 792-04-001
- Legal business name
- CLEARR VISSIONS SUPPORT SERVICES, INC,
- Practice address
- 4220 Oakleys CT
Suite a
Richmond, VA 23223-5974 - Phone
- (804) 271-7263
- Fax
- (804) 271-8612
- NPI assigned
- Nov 1, 2013
- 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
- Mr. Derwin L Hickman Sr.
- Title
- Ceo
- Phone
- (804) 271-7263
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 792-04-001 | VA | Primary |
Addresses
Primary practice location
4220 Oakleys CT
Suite a
Richmond, VA 23223-5974
Mailing address
4220 Oakleys CT
Suite a
Richmond, VA 23223-5974
Phone (804) 271-7263
National Provider Directory
National Provider Directory- Tax ID family
- Clearr Vission Support Services Inc
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Richmond, VA
- NPI 1780911321
-
- Addiction (Substance Use Disorder) Counselor
- Sandston, VA
- NPI 1831825793
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sandston, VA
- NPI 1629703632
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Richmond, VA
- NPI 1952850380
-
- Developmentally Disabled Services Day Training Agency
- Chesterfield, VA
- NPI 1457685802
Locations
4220 Oakleys Ct
Ste A
Richmond, VA 23223
Phone (804) 271-7263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383264000000",
"number": "1639508559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4220 OAKLEYS CT",
"address_2": "SUITE A",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232235974",
"telephone_number": "804-271-7263",
"fax_number": "804-271-8612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4220 OAKLEYS CT",
"address_2": "SUITE A",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232235974",
"telephone_number": "804-271-7263",
"fax_number": "804-271-8612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEARR VISSIONS SUPPORT SERVICES, INC,",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-01",
"last_updated": "2013-11-01",
"status": "A",
"authorized_official_last_name": "HICKMAN",
"authorized_official_first_name": "DERWIN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "804-271-7263",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "VA",
"license": "792-04-001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.