Family Behavioral Health Associates, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810000953 Issued in VA

Legal business name

FAMILY BEHAVIORAL HEALTH ASSOCIATES, LLC

Practice address

5001 W Village Green Dr
Suite 211
Midlothian, VA 23112-4801

Phone

(804) 744-9652

Fax

(804) 744-1265

NPI assigned

Sep 27, 2006

Last updated

Jan 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William T. Burke, PH.D.NPI 1346248812

Title

Managing Partner

Phone

(804) 744-9652

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 3

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.

• William T. Burke, PH.D.

  • Clinical Psychologist
  • Midlothian, VA
  • NPI 1346248812
  Medicare reassignment Care Compare group NPD Authorized official
• Laurie Powell Burke, R.N., N.P., C.S.

  • Psychiatric/Mental Health Nurse Practitioner
  • Midlothian, VA
  • NPI 1013904374
  Medicare reassignment Care Compare group NPD
• Anne Catherine Fedyszen, M.D.

  • Child & Adolescent Psychiatry Physician
  • Midlothian, VA
  • NPI 1023005287
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1932290624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 W VILLAGE GREEN DR",
            "address_2": "SUITE 211",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124801",
            "telephone_number": "804-744-9652",
            "fax_number": "804-744-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 W VILLAGE GREEN DR",
            "address_2": "SUITE 211",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124801",
            "telephone_number": "804-744-9652",
            "fax_number": "804-744-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY BEHAVIORAL HEALTH ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "804-744-9652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000953",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0015000796",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Fair, LPC
• Faith W. Trent, DDS
• Gail Falk
• Lisa Falvo
• Family and Children LLC (Family and Children Counseling)
• Family Practice Associates of Chesterfield PC
• Family Practice Specialists of Richmond, PC
• Larry Wallace Farmer
• Mariah Farmer, OTR/L
• Shazia Habib Farooqi, M.D.

• Clinical Psychologist in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.