Active NPI
Telethrive
- Community/Behavioral Health Agency
- Midlothian, VA
National Provider Identifier
1972366896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TELETHRIVE
- Practice address
- 15871 City View Dr Ste 202
Midlothian, VA 23113-7304 - Phone
- (804) 464-5724
- NPI assigned
- Feb 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandon Hudson
- Title
- Owner
- Phone
- (804) 441-3647
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
15871 City View Dr Ste 202
Midlothian, VA 23113-7304
Mailing address
PO Box 1330
Chesterfield, VA 23832-9103
Phone (804) 441-3647
National Provider Directory
National Provider DirectoryLocations
15871 City View Dr
Ste 202
Midlothian, VA 23113
Phone (804) 464-5724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706832000000",
"number": "1972366896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1330",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238329103",
"telephone_number": "804-441-3647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15871 CITY VIEW DR STE 202",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231137304",
"telephone_number": "804-464-5724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELETHRIVE",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-02",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A",
"authorized_official_last_name": "HUDSON",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "804-441-3647"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.