FAMILY PRESERVATION SERVICE INC (NPI# 1396992095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396992095 |
| Entity Type | Organization |
| Organization Name | FAMILY PRESERVATION SERVICE INC |
| Practice Address |
1840 Tazewell Ave Bluefield VA 24605-1125 |
| Mailing Address |
10304 Spotsylvania Ave 3rd Floor Fredericksburg VA 22408-8602 |
| Practice Telephone | 2769633606 |
| Practice Fax Number | 2769633747 |
| Mailing Telephone | 5407106085 |
| Mailing Fax Number | 5407106447 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2008-08-25 |
| Authorized Official Name | MICHAEL C FIDGEON (CEO) |
| Authorized Official Telephone | 5407106085 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 158 02 029 | VA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 158 02 029 | 05 |
| Street Address |
1840 TAZEWELL AVE |
| City | BLUEFIELD |
| State | VA |
| Zip Code | 24605-1125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295225340 | Lori Havens | Speech-Language Pathologist | 1840 Tazewell Ave, Bluefield, VA 24605-1125 | 2018-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619539954 | Meghan Lee Bohach | Specialist/Technologist | 3000 College Dr., Bluefield, VA 24605 | 2019-07-08 |
| 1033579636 | Mt. State Ent & Facial Plastic Surgery, Inc. | Clinic/Center | 2 Westwood Professional Park, Bluefield, VA 24605 | 2016-02-25 |
| 1053719229 | Erika Elaine Bell | Specialist/Technologist | 3000 College Ave, Bluefield, VA 24605 | 2014-12-19 |
| 1487948006 | Fermin Castro | Occupational Therapist | 20 Westwood Memorial Park, Bluefield, VA 24605 | 2011-05-31 |
| 1033422027 | Crewz LLC | Skilled Nursing Facility | Building 20, Westwood Medical Park, Bluefield, VA 24605 | 2010-07-19 |
| 1285966358 | Catherine Gillespie | Speech-Language Pathologist | 108 1/2 Spruce Street, Bluefield, VA 24605 | 2010-02-01 |
| 1790951432 | Derek S Buck | Physical Medicine & Rehabilitation | 111e Sanders Ln, Bluefield, VA 24605 | 2008-05-02 |
| 1275745994 | Christina Lynn Adkins | Occupational Therapist | Westwood Healthcare Center, Westwood Medical Park, Bluefield, VA 24605 | 2007-05-04 |
| 1215158100 | Beth Ann Reed | Physical Therapist | Westwood Center, Westwood Medical Park Rehab Department, Bluefield, VA 24605 | 2007-05-01 |
| 1164543559 | Constance L. Erickson | Speech-Language Pathologist | Westwood Office Park, Bluefield, VA 24605 | 2007-04-03 |
| Find all providers in zip 24605 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176137 | Family Preservation Services Inc. | Community/Behavioral Health | 210 Valleydale St, Bluefield, VA 24605-9400 | 2018-12-28 |
| 1528479235 | Family Preservation Services, Inc. | Community/Behavioral Health | 1101 Virginia Ave, Bluefield, VA 24605-1224 | 2014-05-15 |
| 1881907608 | Family Preservation Services, Inc | Community/Behavioral Health | 808 Greever Ave, Bluefield, VA 24605-1519 | 2010-07-21 |
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| 1700493582 | Therapeutic Services of Virginia | Community/Behavioral Health | 101 Deep Creek Rd, Newport News, VA 23606-2219 | 2020-09-25 |
| 1801402995 | Strategic Therapy Associates, Inc. | Community/Behavioral Health | 150 W Main St Ste E, Wytheville, VA 24382-2376 | 2020-09-23 |
| 1396351193 | Maxim Healthcare Services Inc. | Community/Behavioral Health | 293 Independence Blvd Ste 400, Virginia Beach, VA 23462-5461 | 2020-09-17 |
| 1083228902 | Lr Counseling Services, LLC | Community/Behavioral Health | 5000 Owens Way, Apt. 622, Prince George, VA 23875 | 2020-09-08 |
| 1073127411 | Youth Outreach Services | Community/Behavioral Health | 7050 Lakota Dr Apt 301, Woodbridge, VA 22192-5392 | 2020-09-02 |
| 1053924803 | Foundation of Hope Mental Health Services LLC | Community/Behavioral Health | 857 Hardwood Dr, Chesapeake, VA 23320-9215 | 2020-08-30 |
| Find all providers with the same taxonomy | ||||
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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.