Controlled Outcomes

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CONTROLLED OUTCOMES

Practice address

3714 Ruffin Rd
North Prince George, VA 23860-8629

Phone

(804) 415-8106

Fax

(804) 415-8106

NPI assigned

Dec 28, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Brian Keith Jackson, PHD

Title

Managing Partner

Phone

(804) 415-8106

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1861937971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 RUFFIN RD",
            "city": "NORTH PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238608629",
            "telephone_number": "804-415-8106",
            "fax_number": "804-415-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 RUFFIN RD",
            "city": "NORTH PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238608629",
            "telephone_number": "804-415-8106",
            "fax_number": "804-415-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTROLLED OUTCOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "804-415-8106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in North Prince George, VA
• Providers in North Prince George, VA by specialty
• Case Management Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.