Organization Active NPI

Community Futures Foundation

  • Brain Injury Medicine (Psychiatry & Neurology) Physician
  • North Chesterfield, VA
National Provider Identifier
1770501629
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Brain Injury Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P0301X
Legal business name
COMMUNITY FUTURES FOUNDATION
Practice address
9211 Arboretum Pkwy Ste 100
North Chesterfield, VA 23236-5404
Phone
(804) 386-0925
Fax
(804) 441-9087
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Jason Young, MSW
Title
Executive Director
Phone
(804) 386-0925

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Brain Injury Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0301X Primary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X 010136199 VA

Addresses

Primary practice location

9211 Arboretum Pkwy Ste 100
North Chesterfield, VA 23236-5404

Mailing address

9211 Arboretum Pkwy Ste 100
North Chesterfield, VA 23236-5404
Phone (804) 386-0925

Other names 1

  • Community Brain Injury Services Doing business as

National Provider Directory

National Provider Directory

Locations

9211 Arboretum Pkwy
Ste 100
North Chesterfield, VA 23236
Phone (804) 386-0925

5711 Staples Mill Rd
Ste 101
Richmond, VA 23228

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1770501629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9211 ARBORETUM PKWY STE 100",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232365404",
            "telephone_number": "804-386-0925",
            "fax_number": "804-441-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 ARBORETUM PKWY STE 100",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232365404",
            "telephone_number": "804-386-0925",
            "fax_number": "804-441-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY FUTURES FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-386-0925",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "2084P0301X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Brain Injury Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "010136199",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Brain Injury Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.