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
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.

National Provider Directory

National Provider Directory

Locations

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

Addresses

NPPES NPI Registry

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

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

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.