Active NPI
Blacksburg Behavioral Health, LLC
- Clinical Psychologist
- Blacksburg, VA
National Provider Identifier
1770034902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810004182
- Legal business name
- BLACKSBURG BEHAVIORAL HEALTH, LLC
- Practice address
- 2001 S Main St
Suite 108
Blacksburg, VA 24060-6678 - Phone
- (540) 443-8949
- Fax
- (540) 739-2111
- NPI assigned
- Oct 24, 2016
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Adrienne Jill Means-Christensen, PH.D.
- Title
- Clinical Psychologist
- Phone
- (540) 443-8949
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Blacksburg, VA
- NPI 1962473868
-
- Clinical Social Worker
- Washington, DC
- NPI 1942221106
National Provider Directory
National Provider DirectoryLocations
2001 S Main St
Ste 108
Blacksburg, VA 24060
Phone (540) 443-8949
102 Broce Dr
Blacksburg, VA 24060
Phone (540) 443-8949
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810004182 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2001 S Main St
Suite 108
Blacksburg, VA 24060-6678
Mailing address
2001 S Main St
Suite 108
Blacksburg, VA 24060-6678
Phone (540) 443-8949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 24, 2016.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477267200000",
"number": "1770034902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 S MAIN ST",
"address_2": "SUITE 108",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240606678",
"telephone_number": "540-443-8949",
"fax_number": "540-739-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S MAIN ST",
"address_2": "SUITE 108",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240606678",
"telephone_number": "540-443-8949",
"fax_number": "540-739-2111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLACKSBURG BEHAVIORAL HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-24",
"last_updated": "2016-10-24",
"status": "A",
"authorized_official_last_name": "MEANS-CHRISTENSEN",
"authorized_official_first_name": "ADRIENNE",
"authorized_official_middle_name": "JILL",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "540-443-8949",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810004182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blacksburg, VA
- Bio-Medical Applications of Virginia, Inc.
- Zachary Logan Birch, DO
- Benjamin James Bishop, DDS
- Thomas H Bishop, M.D.
- Alex Kendrick Black, ATC
- Blacksburg Center for Pain Management, Inc.
- Blacksburg Family Care LLC
- Blacksburg Internal Medicine and Cardiology
- Blacksburg Life Care, LLC
- Blacksburg Life Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.