Organization Active NPI

Family Determination LLC

  • Community/Behavioral Health Agency
  • Norfolk, VA
National Provider Identifier
1700101581
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1412 Issued in VA
Legal business name
FAMILY DETERMINATION LLC
Practice address
2727 Oklahoma Ave
Suite a
Norfolk, VA 23513-4207
Phone
(757) 450-2300
Fax
(757) 961-1800
NPI assigned
Apr 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Authorized official

Name
Mr. Terry Arenda Jackson, QMHP
Title
Ceo
Phone
(757) 450-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1412 VA Primary

Addresses

Primary practice location

2727 Oklahoma Ave
Suite a
Norfolk, VA 23513-4207

Mailing address

2727 Oklahoma Ave
Suite a
Norfolk, VA 23513-4207
Phone (757) 450-2300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1700101581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 OKLAHOMA AVE",
            "address_2": "SUITE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235134207",
            "telephone_number": "757-450-2300",
            "fax_number": "757-961-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 OKLAHOMA AVE",
            "address_2": "SUITE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235134207",
            "telephone_number": "757-450-2300",
            "fax_number": "757-961-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DETERMINATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "ARENDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-450-2300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "QMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.