Organization Active NPI

Ultimate Outcomes Therapeutic Services

  • Community/Behavioral Health Agency
  • Richmond, VA
National Provider Identifier
1801124607
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
46403001 Issued in VA
Legal business name
ULTIMATE OUTCOMES THERAPEUTIC SERVICES
Practice address
4901 Fitzhugh Ave Ste 200
Richmond, VA 23230-3531
Phone
(804) 213-0140
Fax
(804) 213-0140
NPI assigned
Dec 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Authorized official

Name
Stephanie Bazemore
Title
Administrator
Phone
(804) 213-0140

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 46403001 VA Primary
Community/Behavioral Health Agency 251S00000X 46405001 VA

Addresses

Primary practice location

4901 Fitzhugh Ave Ste 200
Richmond, VA 23230-3531

Mailing address

PO Box 6386
Richmond, VA 23230-0386
Phone (804) 213-0140

Other identifiers 1

IdentifierTypeStateIssuer
1801124607MedicaidVA

Other names 1

  • Ultimate Outcomes Therapuetic Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1801124607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6386",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232300386",
            "telephone_number": "804-213-0140",
            "fax_number": "804-213-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 FITZHUGH AVE STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303531",
            "telephone_number": "804-213-0140",
            "fax_number": "804-213-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE OUTCOMES THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "BAZEMORE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-213-0140"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "46403001",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "46405001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801124607",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultimate Outcomes Therapuetic Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ultimate Outcomes Therapuetic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.