Hampton Newport News Community Services Board
Organization Active NPI Community/Behavioral Health Agency · Hampton, VA
NPI 1659424448 · NPPES record last updated Mar 14, 2025
Key facts
- NPI
- 1659424448
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 019 (VA)
- Legal business name
- HAMPTON NEWPORT NEWS COMMUNITY SERVICES BOARD
- Practice address
- 300 Medical Drive
2ND Floor
Hampton, VA 23666-1765 - Phone
- (757) 788-0300
- Fax
- (757) 788-0969
- NPI assigned
- Jan 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Daphne Cunningham, PHD
- Title
- Executive Director
- Phone
- (757) 788-0300
Subparts reporting this organization as parent 1
Practitioners 144
-
Thomas Alexander, LPC, LSATP
-
Wesley Andrews, PMHNP
-
Brittany Rahjetta Bagby, NP-C
-
Eva Brown, LPC
-
Juanita Renee Burtt, NURSE PRACTITIONER
-
Chrystal Campbell, LPC
-
Elise R Douglass, PMHNP-BC, APRN
-
Baltej Singh Gill, M.D.
-
Rajdeep Gill, M.D.
-
Faisal Mohsin, M.D.
-
Curtis Eugene Powell, LCSW
-
Jacob Israel Ryder, LPC
-
Samia Sabeen, M.D.
-
Julius Smith, LPC
-
Yolanda G Wilson, LPC
-
Anita Burleson Jarrard, MSW, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040429001348 | VA | Part B Supplier - Clinic/Group Practice | 0446247480 |
Receives reassigned benefits from 68 practitioners Practice locations: Hampton, VA |
| O20200121001130 | VA | Part B Supplier - Opioid Treatment Program (Otp) | 0446247480 | Practice locations: Newport News, VA |
National Provider Directory
Locations
500 Medical Dr
Ste B
Hampton, VA 23666
2244 Executive Dr
#A
Hampton, VA 23666
Phone (757) 315-3650
600 Medical Dr
Ste Ab
Hampton, VA 23666
Phone (757) 788-0600
300 Medical Dr
Fl 2
Hampton, VA 23666
Phone (757) 788-0092
200 Medical Dr
#A
Hampton, VA 23666
Phone (757) 788-0200
600 Medical Dr
Hampton, VA 23666
Phone (757) 788-0600
400 Medical Dr
#A
Hampton, VA 23666
Phone (757) 788-0400
200 Medical Dr
#B
Hampton, VA 23666
Phone (757) 788-0200
200 Medical Dr
Hampton, VA 23666
Phone (757) 728-0380
100 Old Hampton Ln
Hampton, VA 23669
2101 Executive Dr
Ste 2E
Hampton, VA 23666
Phone (757) 825-1732
11832 Canon Blvd
Ste A
Newport News, VA 23606
Phone (757) 223-0236
2501 Washington Ave
Newport News, VA 23607
Phone (757) 245-0217
2712 Washington Ave
Newport News, VA 23607
Phone (757) 240-5223
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 019 | VA | Yes |
| Methadone Clinic | 261QM2800X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
300 Medical Drive
2ND Floor
Hampton, VA 23666-1765
Mailing address
300 Medical Drive
2ND Floor
Hampton, VA 23666-1765
Phone (757) 788-0300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4945573 | Medicaid | VA |
Other providers in Hampton, VA
- Hampton Family Dentistry
- Hampton Health & Rehab Center, LLC
- Hampton Hearing AIDS, LLC
- Hampton Helpers, LLC
- Hampton Mental Health Associates, Inc
- Hampton OBGYN Inc PC
- Hampton Physical Therapy
- Hampton Psych NPS, PLLC
- Hampton Roads Arthritis Center
- Hampton Roads Cardiology, PLLC
All providers in Hampton, VA · Community/Behavioral Health Agency in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.