Organization Active NPI

Dominion Behavioral Health Services

  • Behavior Analyst
  • Staunton, VA
National Provider Identifier
1659641330
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
DOMINION BEHAVIORAL HEALTH SERVICES
Practice address
810 N Braeburn PL
Staunton, VA 24401-9008
Phone
(540) 280-9081
Fax
(540) 886-7380
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Kat S McNeal
Title
Billing Manager
Phone
(540) 294-4779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X VA Primary

Addresses

Primary practice location

810 N Braeburn PL
Staunton, VA 24401-9008

Mailing address

810 N Braeburn PL
Staunton, VA 24401-9008
Phone (540) 280-9081

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1659641330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N BRAEBURN PL",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244019008",
            "telephone_number": "540-280-9081",
            "fax_number": "540-886-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N BRAEBURN PL",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244019008",
            "telephone_number": "540-280-9081",
            "fax_number": "540-886-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "MCNEAL",
        "authorized_official_first_name": "KAT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "540-294-4779"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.