NPIMap

Organization Active NPI

Blacksburg Behavioral Health, LLC

  • Clinical Psychologist
  • Blacksburg, VA
National Provider Identifier
1770034902
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004182 Issued in VA
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
Last updated
Oct 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Adrienne Jill Means-Christensen, PH.D.NPI 1477881423
Title
Clinical Psychologist
Phone
(540) 443-8949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0810004182 VA Primary

Addresses

Primary 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

National Provider Directory

National Provider Directory

Locations

2001 S Main St
Ste 108
Blacksburg, VA 24060
Phone (540) 443-8949

Practitioners & affiliated clinicians

Practitioners 5

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": "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

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.

Verify at the official NPI Registry.