Organization Active NPI

Divine Behavioral Services

  • Private Vehicle
  • Newport News, VA
National Provider Identifier
1972024016
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
DIVINE BEHAVIORAL SERVICES
Practice address
11846 Rock Landing Dr Ste a
Newport News, VA 23606-4423
Phone
(757) 223-5924
NPI assigned
Jun 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Sara Goddard
Title
Owner
Phone
(757) 223-5924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

11846 Rock Landing Dr Ste a
Newport News, VA 23606-4423

Mailing address

11846 Rock Landing Dr Ste a
Newport News, VA 23606-4423
Phone (757) 223-5924

National Provider Directory

National Provider Directory

Locations

11846 Rock Landing Dr
Ste A
Newport News, VA 23606
Phone (757) 223-5924

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972024016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11846 ROCK LANDING DR STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064423",
            "telephone_number": "757-223-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11846 ROCK LANDING DR STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064423",
            "telephone_number": "757-223-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GODDARD",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-223-5924"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.