Active NPI
Community Futures Foundation
Doing business as Community Brain Injury Services
- Brain Injury Medicine (Psychiatry & Neurology) Physician
- North Chesterfield, VA
National Provider Identifier
1770501629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Brain Injury Medicine (Psychiatry & Neurology) Physician
- Legal business name
- COMMUNITY FUTURES FOUNDATION
- Doing business as
- Community Brain Injury Services
- 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
- Last updated
- Aug 23, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Brain Injury Medicine (Psychiatry & Neurology) Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.