Organization Active NPI

Parent Support Services Especially for You, LLC

  • Developmental Disabilities Clinic/Center
  • Fredericksburg, VA
National Provider Identifier
1669201810
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
PARENT SUPPORT SERVICES ESPECIALLY FOR YOU, LLC
Practice address
620 Kenmore Ave Ste a
Fredericksburg, VA 22401-5723
Phone
(804) 313-7713
NPI assigned
Jul 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

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

Authorized official

Name
Tysha Renee NewtonNPI 1396560462
Title
Owner
Phone
(804) 313-7713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

620 Kenmore Ave Ste a
Fredericksburg, VA 22401-5723

Mailing address

620 Kenmore Ave Ste a
Fredericksburg, VA 22401-5723
Phone (804) 313-7713

Other names 1

  • Especially for You, LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250505001495 VA Part B Supplier - Clinic/Group Practice 7810414703 Receives reassigned benefits from 1 practitioner
Practice locations: Fredericksburg, VA

National Provider Directory

National Provider Directory

Locations

620 Kenmore Ave
Ste A
Fredericksburg, VA 22401
Phone (804) 313-7713

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722038400000",
    "number": "1669201810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 KENMORE AVE STE A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015723",
            "telephone_number": "804-313-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 KENMORE AVE STE A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015723",
            "telephone_number": "804-313-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARENT SUPPORT SERVICES ESPECIALLY FOR YOU, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-27",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "TYSHA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-313-7713"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Especially for You, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.