NPIMap

Organization Active NPI

Jefferson Trail Treatment Center for Children

  • Psychiatric Hospital
  • Charlottesville, VA
National Provider Identifier
1740245117
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
63014001 Issued in VA
Legal business name
JEFFERSON TRAIL TREATMENT CENTER FOR CHILDREN
Doing business as
Jefferson Trail Treatment Center for Children
Practice address
2101 Arlington Blvd
Charlottesville, VA 22903-1521
Phone
(800) 777-8855
Fax
(703) 777-7147
NPI assigned
Apr 19, 2006
Last updated
Sep 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Authorized official

Name
Sara Crowley
Title
Business Office Director
Phone
(800) 777-8855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 63014001 VA Primary

Addresses

Primary practice location

2101 Arlington Blvd
Charlottesville, VA 22903-1521

Mailing address

2101 Arlington Blvd
Charlottesville, VA 22903-1521
Phone (800) 777-8855

Other names 1

  • JEFFERSON TRAIL TREATMENT CENTER FOR CHILDREN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jefferson Trail Treatment Center for Children2 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.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1740245117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 ARLINGTON BLVD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229031521",
            "telephone_number": "800-777-8855",
            "fax_number": "703-777-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ARLINGTON BLVD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229031521",
            "telephone_number": "800-777-8855",
            "fax_number": "703-777-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON TRAIL TREATMENT CENTER FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "800-777-8855"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "VA",
            "license": "63014001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEFFERSON TRAIL TREATMENT CENTER FOR CHILDREN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.