NPIMap

Organization Active NPI

City of Virginia Beach

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Virginia Beach, VA
National Provider Identifier
1861562472
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
261 Issued in VA
Legal business name
CITY OF VIRGINIA BEACH
Practice address
3143 Magic Hollow Blvd Ste 200
Virginia Beach, VA 23453-3077
Phone
(757) 385-0687
Fax
(757) 306-5801
NPI assigned
Nov 9, 2006
Last updated
Apr 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Authorized official

Name
Margaret G Bailey
Title
Reimbursement
Phone
(757) 385-0687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 261 VA Primary

Addresses

Primary practice location

3143 Magic Hollow Blvd Ste 200
Virginia Beach, VA 23453-3077

Mailing address

3432 Virginia Beach Blvd
Virginia Beach, VA 23452-4420
Phone (757) 385-0684

Other practice location 1

289 Independence Blvd
Suite 312
Virginia Beach, VA 23462-5493
Phone (757) 385-0684

Other identifiers 1

IdentifierTypeStateIssuer
1861562472MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040203000933 VA Part B Supplier - Clinic/Group Practice 7810880911 Receives reassigned benefits from 13 practitioners
Practice locations: Virginia Beach, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
City of Virginia Beach9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

289 Independence Blvd
Ste 312
Virginia Beach, VA 23462
Phone (757) 385-0684

297 Independence Blvd
Ste 126
Virginia Beach, VA 23462
Phone (757) 385-0511

297 Independence Blvd
Ste 208
Virginia Beach, VA 23462
Phone (757) 437-5760

297 Independence Blvd
Ste 300
Virginia Beach, VA 23462
Phone (757) 385-0838

297 Independence Blvd
Ste 423
Virginia Beach, VA 23462
Phone (757) 385-4105

3143 Magic Hollow Blvd
Ste 200
Virginia Beach, VA 23453
Phone (757) 219-2133

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 50

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.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1861562472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524420",
            "telephone_number": "757-385-0684",
            "fax_number": "757-306-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3143 MAGIC HOLLOW BLVD STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234533077",
            "telephone_number": "757-385-0687",
            "fax_number": "757-306-5801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "289 Independence Blvd",
            "address_2": "Suite 312",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234625493",
            "country_code": "US",
            "telephone_number": "757-385-0684",
            "fax_number": "757-493-5456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITY OF VIRGINIA BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "REIMBURSEMENT",
        "authorized_official_telephone_number": "757-385-0687"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VA",
            "license": "261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861562472",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.