KEYSTONE NEWPORT NEWS (NPI# 1306389184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306389184 |
| Entity Type | Organization |
| Organization Name | KEYSTONE NEWPORT NEWS |
| Other Organization Name | NEWPORT NEWS BEHAVIORAL HEALTH CENTER |
| Practice Address |
17579 Warwick Blvd Newport News VA 23603-1343 |
| Practice Telephone | 7578880400 |
| Practice Fax Number | 7578880359 |
| Mailing Telephone | 7578880400 |
| Mailing Fax Number | 7578880359 |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |
| Authorized Official Name | MR. PAUL KIRKHAM (CEO) |
| Authorized Official Telephone | 7578880400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 0701006865 | VA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Newport News Behavioral Health Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Keystone Newport News, LLC Dba Newport News Behavioral Health Center | 17579 Warwick Blvd, Newport News, VA 23603 |
| Street Address |
17579 WARWICK BLVD |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23603-1343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043283443 | John G Phocas IIi | Psychiatry & Neurology | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2006-02-08 |
| 1497384739 | Destiny Katherine Douglas | Counselor | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2020-04-08 |
| 1225657463 | Ashley Carroll Tuttle | Counselor | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2020-04-08 |
| 1184271132 | Damian Thomas Tucker | Counselor | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2019-08-23 |
| 1871158394 | Erin Marie Coppedge | Psychologist | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2019-05-09 |
| 1801450465 | Jessica Carol Walters Houston | Counselor | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2019-04-29 |
| 1487130712 | Stacy Cross | Counselor | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2018-07-19 |
| 1275030090 | Tierra Ward Ruffin | Counselor | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2018-04-09 |
| 1922519255 | Emily Ann Anderson | Counselor | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2017-10-13 |
| 1235650508 | Allison Michelle Vaughan | Counselor | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2017-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710488291 | Amanda Banner Brown | Speech-Language Pathologist | 17346 Warwick Blvd, Newport News, VA 23603 | 2018-02-21 |
| 1124278783 | Suzanne Marie Garber | Social Worker | 1949 Von Steuben Dr., Newport News, VA 23603-1052 | 2008-09-19 |
| 1124526439 | Monique Yvette Newsome | Social Worker | 522 Tudor Ct, Newport News, VA 23603-1139 | 2018-02-01 |
| 1215348081 | Nichole Scott | Physical Therapist | 200 Enterprise Dr, Newport News, VA 23603-1300 | 2014-05-15 |
| 1902306681 | Christine Eagan | Psychologist | 17346 Warwick Blvd, Newport News, VA 23603-1323 | 2018-02-19 |
| 1588625610 | Craig Leslie Knott | Physician Assistant | 116 Lake Pointe Dr, Newport News, VA 23603-1375 | 2006-03-29 |
| 1043838733 | Loving Hearts & Home Transportation LLC | Non-emergency Medical Transport (VAN) | 117 Republic Rd Apt L, Newport News, VA 23603-1463 | 2020-07-08 |
| 1306453949 | Annette Wanki | Registered Nurse | 1939 Mortar Loop Apt A, Newport News, VA 23603-1502 | 2020-09-28 |
| 1871148080 | Kelly Marie Sanchez | Counselor | 1944 Mortar Loop Apt A, Newport News, VA 23603-1507 | 2019-08-05 |
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073748190 | Divind Behavioral Services,inc | Community Based Residential Treatment Facility, Mental Illness | 13813 Warwick Blvd, 200, Newport News, VA 23602-3755 | 2009-05-19 |
| 1457791840 | Peaceful Solutions Counseling Services | Community Based Residential Treatment Facility, Mental Illness | 6060 Jefferson Ave, Suite 9003, Newport News, VA 23605-3014 | 2013-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487901 | River City Residential Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 2106 Hungary Rd, Richmond, VA 23228-2208 | 2020-04-27 |
| 1376178079 | Scott's Rehabilitative House | Community Based Residential Treatment Facility, Mental Illness | 104 Country Club Rd, Franklin, VA 23851-2983 | 2020-03-03 |
| 1386298354 | Quality Care Counseling Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 18511 Rollingside Dr, South Chesterfield, VA 23834-1699 | 2019-07-29 |
| 1730690694 | Families United, LLC | Community Based Residential Treatment Facility, Mental Illness | 1801 Hayward Ave, Chesapeake, VA 23320-2231 | 2017-10-18 |
| 1427419035 | Powerhouse Unlimited | Community Based Residential Treatment Facility, Mental Illness | 418 N 25th St, Apt 260, Richmond, VA 23223-7564 | 2016-03-09 |
| 1700266277 | Jan's Residential Homes | Community Based Residential Treatment Facility, Mental Illness | 307 N High St, Blackstone, VA 23824-1421 | 2015-05-31 |
| 1225426083 | Divine Health Support LLC | Community Based Residential Treatment Facility, Mental Illness | 2050 Hanson Ln, Woodbridge, VA 22191-4545 | 2015-01-02 |
| 1063838126 | New Lifestyles, Inc | Community Based Residential Treatment Facility, Mental Illness | 230 W Boscawen St, Winchester, VA 22601-4118 | 2014-03-13 |
| 1053742049 | Pathways Youth Services LLC | Community Based Residential Treatment Facility, Mental Illness | 1010 Marions Trl, Halifax, VA 24558-3126 | 2013-12-02 |
| 1679905269 | Rest Haven LLC | Community Based Residential Treatment Facility, Mental Illness | 1005 Bland St, Norfolk, VA 23513-3386 | 2013-08-06 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT NEWS |
| Zip Code | 23603 |
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| 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.