The Independent Capacity System, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE INDEPENDENT CAPACITY SYSTEM, INC.

Practice address

16015 Continental Blvd
Colonial Heights, VA 23834-5900

Phone

(804) 721-1720

Fax

(804) 214-2177

NPI assigned

Mar 15, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Pascal Thebaud

Title

Executive Director

Phone

(804) 721-1720

Specialties & licenses 2

Addresses

Other names 1

• Independent Capacity System, Inc. Doing business as

Locations

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1790084804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3163",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238053163",
            "telephone_number": "804-721-1720",
            "fax_number": "804-214-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16015 CONTINENTAL BLVD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238345900",
            "telephone_number": "804-721-1720",
            "fax_number": "804-214-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INDEPENDENT CAPACITY SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "THEBAUD",
        "authorized_official_first_name": "PASCAL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-721-1720",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independent Capacity System, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.