Divine Behavioral Services Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIVINE BEHAVIORAL SERVICES INC.

Practice address

6270 Red Oak Rd
College Park, GA 30349-4023

Phone

(175) 777-3234

NPI assigned

Oct 28, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Sara Pacita Goddard

Title

Ceo

Phone

(757) 833-6290

Specialties & licenses 1

Addresses

Tax ID family

Divind Behavioral Servicesinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Divind Behavioral Services,Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Newport News, VA
  • NPI 1073748190
  NPD tax ID

Locations

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1669772323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 DRUM POINTE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236031381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6270 RED OAK RD",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303494023",
            "telephone_number": "175-777-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE BEHAVIORAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "GODDARD",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "PACITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-833-6290",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Defying the Odds, Inc
• Pamela Deramus Heard
• Iqbal Hussain Dhanani, M.D.
• Dharmesh Parbhoo P.C.
• Divine Angels Home Care LLC
• Divine Hospice Care
• DME of America
• Emma Domby, LMSW
• DPCH, LLC
• Dreams and Visions, LLC

• Community/Behavioral Health Agency in College Park, GA
• Providers in College Park, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.