NPIMap

Organization Active NPI

Newman Avenue Associates, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Harrisonburg, VA
National Provider Identifier
1720122146
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1074 Issued in VA
Legal business name
NEWMAN AVENUE ASSOCIATES, PC
Practice address
110 Newman Ave
Harrisonburg, VA 22801-4004
Phone
(540) 434-2848
Fax
(540) 434-2883
NPI assigned
Feb 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Ms. Bonita H Jantzi, LCSWNPI 1487639985
Title
Partner
Phone
(540) 434-2848

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1074 VA Primary

Addresses

Primary practice location

110 Newman Ave
Harrisonburg, VA 22801-4004

Mailing address

110 Newman Ave
Harrisonburg, VA 22801-4004
Phone (540) 434-2848

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040512001314 VA Part B Supplier - Clinic/Group Practice 3375533425 Receives reassigned benefits from 7 practitioners
Practice locations: Harrisonburg, VA

National Provider Directory

National Provider Directory

Locations

108 Newman Ave
Harrisonburg, VA 22801
Phone (540) 434-2848

Practitioners & affiliated clinicians

Practitioners 7

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": "1171756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1720122146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NEWMAN AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228014004",
            "telephone_number": "540-434-2848",
            "fax_number": "540-434-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NEWMAN AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228014004",
            "telephone_number": "540-434-2848",
            "fax_number": "540-434-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWMAN AVENUE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-18",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "JANTZI",
        "authorized_official_first_name": "BONITA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "540-434-2848",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VA",
            "license": "1074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.