Organization Active NPI

Clinical Services of Virginia, LLC

  • Community/Behavioral Health Agency
  • Richmond, VA
National Provider Identifier
1821239120
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1257 Issued in VA
Legal business name
CLINICAL SERVICES OF VIRGINIA, LLC
Practice address
7206 Hull Street Rd
Suite 202
Richmond, VA 23235-5827
Phone
(804) 562-3317
Fax
(804) 562-0561
NPI assigned
Mar 16, 2009
Last updated
Mar 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
Ms. Burnette Seward Sales
Title
Chief Operating Officer
Phone
(804) 562-3317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1257 VA Primary

Addresses

Primary practice location

7206 Hull Street Rd
Suite 202
Richmond, VA 23235-5827

Mailing address

7206 Hull Street Rd
Suite 202
Richmond, VA 23235-5827
Phone (804) 562-3317

Other identifiers 1

IdentifierTypeStateIssuer
1257MedicaidVA

National Provider Directory

National Provider Directory

Locations

7206 Hull Street Rd
Ste 202
North Chesterfield, VA 23235
Phone (804) 562-3317

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1821239120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7206 HULL STREET RD",
            "address_2": "SUITE 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232355827",
            "telephone_number": "804-562-3317",
            "fax_number": "804-562-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7206 HULL STREET RD",
            "address_2": "SUITE 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232355827",
            "telephone_number": "804-562-3317",
            "fax_number": "804-562-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL SERVICES OF VIRGINIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "SALES",
        "authorized_official_first_name": "BURNETTE",
        "authorized_official_middle_name": "SEWARD",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "804-562-3317",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1257",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 16, 2009; 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.