Nu-Start Youth Intervention Services LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

NU-START YOUTH INTERVENTION SERVICES LLC

Practice address

5039 Backlick Rd
Suite a
Annandale, VA 22003-6046

Phone

(703) 750-1132

Fax

(703) 750-1142

NPI assigned

Sep 13, 2011

Organization subpart

No

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

Authorized official

Name

Miss Donnette Shaw-Cunningham

Title

Executive Director

Phone

(202) 421-4130

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donnette Shaw

  • Clinical Social Worker
  • Springfield, VA
  • NPI 1477405777
  NPD

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1851673230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5039 BACKLICK RD",
            "address_2": "SUITE A",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036046",
            "telephone_number": "703-750-1132",
            "fax_number": "703-750-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5039 BACKLICK RD",
            "address_2": "SUITE A",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036046",
            "telephone_number": "703-750-1132",
            "fax_number": "703-750-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NU-START YOUTH INTERVENTION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "SHAW-CUNNINGHAM",
        "authorized_official_first_name": "DONNETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-421-4130",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nova Medical Supply LLC
• Nova Rehab Corp
• Nova Training Center
• Nu Dimensions, LLC
• Nu Pathway Healthcare and Wellness LLC
• NV Mental Health LLC
• Julius Nyambi
• Paul John O'Brien, MD
• Laurence R O'Halloran, MD
• Veronica O'Rourke, DO

• Emotionally Disturbed Childrens' Residential Treatment Facility in Annandale, VA
• Providers in Annandale, VA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.