NOVA TELEMENTAL HEALTH


Address: 14012 Willet Way, Gainesville, VA 20155-5915
Phone: 3217948237

NOVA TELEMENTAL HEALTH (NPI# 1174146708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174146708
Entity Type Organization
Organization Name NOVA TELEMENTAL HEALTH
Practice Address 14012 Willet Way
Gainesville
VA 20155-5915
Practice Telephone 3217948237
Mailing Telephone 3217948237
Enumeration Date 2020-05-18
Last Update Date 2020-05-18
Authorized Official Name MRS. KELLY LYNN CIPERA (OWNER)
Authorized Official Telephone 3217948237
Authorized Official Credential MSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 14012 WILLET WAY
City GAINESVILLE
State VA
Zip Code 20155-5915

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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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Competitor

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City GAINESVILLE
Zip Code 20155

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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