Tamarack Center, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

08100002356 Issued in VA

Legal business name

TAMARACK CENTER, INC.

Practice address

800 Euclid Ave
Bristol, VA 24201-3916

Phone

(276) 591-1122

Fax

(276) 591-1150

NPI assigned

Aug 12, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Woodrow Brill Jr., PH.D.

Title

Owner/Operator

Phone

(276) 591-1133

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1649272352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 EUCLID AVE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013916",
            "telephone_number": "276-591-1122",
            "fax_number": "276-591-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 EUCLID AVE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013916",
            "telephone_number": "276-591-1122",
            "fax_number": "276-591-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARACK CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BRILL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "WOODROW",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "276-591-1133",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "VA",
            "license": "08100002356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "4037985",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "007727",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON",
            "identifier": "056271",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsie Strong, NP
• Sugar Hollow Medical
• Derek Sutherland, PHARMD
• Vanessa Ruiz Sutherland, M.A. CCC-SLP
• Wendy D Swiney, FNP
• Jessica F Taylor
• Sharon Taylor, RDMS
• Sheila Ann Taylor, LPTA
• Taylor Grace Taylor, COTA/L
• Whitney Taylor, LPTA

• Psychologist in Bristol, VA
• Providers in Bristol, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.