Pantheon Behavioral Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PANTHEON BEHAVIORAL SERVICES

Practice address

2033 Cunningham Dr Apt 104
Hampton, VA 23666-3311

Phone

(757) 813-2245

NPI assigned

Apr 29, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Mark Joseph Maupin, MSW

Title

Chief Executive Officer

Phone

(757) 813-2245

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1952745341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 CUNNINGHAM DR APT 104",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663311",
            "telephone_number": "757-813-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 CUNNINGHAM DR APT 104",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663311",
            "telephone_number": "757-813-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANTHEON BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "MAUPIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "757-813-2245",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loreen A. Paiva, R.D.
• Melissa Ann Palka, N.P.
• Damien E Palmer, CRT
• Julianna Marilyn Palmer, LCSW
• Ashley Palochak, MSW
• Russell Alexander Pape
• Paradapt Equpiment Services Inc (Paradapt Equipment Services)
• Carissa Lynn Pardekooper, PA-C
• May Pardini, CF-SLP
• Ariel Parham, MSW

• Community/Behavioral Health Agency in Hampton, VA
• Providers in Hampton, 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 Apr 29, 2013; 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.