Active NPI
Community Futures Foundation
- 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
- 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
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
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.