Common Care Therapeutic LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COMMON CARE THERAPEUTIC LLC

Practice address

2211 Chateau Dr Apt H
Richmond, VA 23224-2734

Phone

(804) 714-4563

NPI assigned

Jul 8, 2024

Organization subpart

No

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

Authorized official

Name

Tyrone Sabaston Kidd, QMHPNPI 1265285407

Title

Executive Director

Phone

(804) 714-4563

Specialties & licenses 1

Addresses

Practitioners 1

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

• Tyrone Sabaston Kidd

  • Community/Behavioral Health Agency
  • Richmond, VA
  • NPI 1265285407
  NPD Authorized official

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1932945912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 CHATEAU DR APT H",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232242734",
            "telephone_number": "804-714-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 CHATEAU DR APT H",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232242734",
            "telephone_number": "804-714-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMON CARE THERAPEUTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_middle_name": "SABASTON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-714-4563",
        "authorized_official_credential": "QMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail L Comeau, COTA
• Comfort Facilitators
• Comfort Living and Care PLLC
• Philip Edward Comfort, H.I.S
• Committed Counseling Program
• Commonshare Imperial LLC
• Commonshare, Inc (Commonshare)
• Commonwealth Anesthesia Associates, P.C.
• Commonwealth Cancer Institute
• Commonwealth Cardiology Associates LTD

• Community/Behavioral Health Agency in Richmond, VA
• Providers in Richmond, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.