NPIMap

Organization Active NPI

Key Independent Development Services

  • Community/Behavioral Health Agency
  • Richmond, VA
National Provider Identifier
1720429889
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2105 Issued in VA
Legal business name
KEY INDEPENDENT DEVELOPMENT SERVICES
Practice address
509 N Henry St
Richmond, VA 23220-3924
Phone
(804) 909-1762
NPI assigned
Jul 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Malcolm Isaiah Moody, MPA, B.S.
Title
Program Director
Phone
(804) 909-1762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2105 VA Primary

Addresses

Primary practice location

509 N Henry St
Richmond, VA 23220-3924

Mailing address

509 N Henry St
Richmond, VA 23220-3924
Phone (804) 909-1762

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1720429889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N HENRY ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232203924",
            "telephone_number": "804-909-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N HENRY ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232203924",
            "telephone_number": "804-909-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY INDEPENDENT DEVELOPMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "ISAIAH",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "804-909-1762",
        "authorized_official_credential": "MPA, B.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "2105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.