NPIMap

Organization Active NPI

Family Preservation Services, Inc

  • Community/Behavioral Health Agency
  • South Boston, VA
National Provider Identifier
1962658211
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
158-03-002 Issued in VA
Legal business name
FAMILY PRESERVATION SERVICES, INC
Practice address
3401 Old Halifax Rd
South Boston, VA 24592-4951
Phone
(434) 572-8598
Fax
(434) 572-6282
NPI assigned
Aug 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Mr. Michael C Fidgeon
Title
Ceo
Phone
(540) 710-6085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 158-03-002 VA Primary

Addresses

Primary practice location

3401 Old Halifax Rd
South Boston, VA 24592-4951

Mailing address

10304 Spotsylvania Ave
3Rd Floor
Fredericksburg, VA 22408-8602
Phone (540) 710-6085

Other identifiers 1

IdentifierTypeStateIssuer
158-03-002MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Family Preservation Services Inc134 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

3401 Old Halifax Rd
South Boston, VA 24592
Phone (434) 222-0034

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1962658211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10304 SPOTSYLVANIA AVE",
            "address_2": "3RD FLOOR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088602",
            "telephone_number": "540-710-6085",
            "fax_number": "540-710-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 OLD HALIFAX RD",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245924951",
            "telephone_number": "434-572-8598",
            "fax_number": "434-572-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRESERVATION SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "FIDGEON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-710-6085",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "158-03-002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158-03-002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.