BON SECOURS VIRGINIA MEDICAL GROUP I, LLC (NPI# 1457788358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457788358 |
| Entity Type | Organization |
| Organization Name | BON SECOURS VIRGINIA MEDICAL GROUP I, LLC |
| Other Organization Name | BON SECOURS BEHAVIORAL HEALTH GROUP |
| Practice Address |
1510 N 28th St Suite 101 Richmond VA 23223-5311 |
| Practice Telephone | 8043711670 |
| Practice Fax Number | 8043711671 |
| Mailing Telephone | 8043711670 |
| Mailing Fax Number | 8043711671 |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2013-10-09 |
| Authorized Official Name | GEORGE BUTLER (DIRECTOR CORPORATE RESPONSIBILITY) |
| Authorized Official Telephone | 8042810271 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Bon Secours Behavioral Health Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912334814 | Bon Secours Virginia Medical Group I, LLC | Psychologist | 8220 Meadowbridge Rd # Mobi, Suite 308, Mechanicsville, VA 23116-2336 | 2013-10-09 |
| 1013344944 | Bon Secours Virginia Medical Group I, LLC | Internal Medicine | 5855 Bremo Rd, Suite 102, Richmond, VA 23226-1930 | 2013-10-10 |
| 1568899409 | Bon Secours Virginia Medical Group I, LLC | Dermatology | 5207 Hickory Park Dr, Suite A, Glen Allen, VA 23059-2624 | 2013-10-10 |
| 1821425760 | Bon Secours Virginia Medical Group I, LLC | Dentist | 6900 Forest Ave, Suite 110, Richmond, VA 23230-1729 | 2013-10-10 |
| 1538596473 | Bon Secours Virginia Medical Group I, LLC | Psychologist | 5855 Bremo Rd, Suite 404, Richmond, VA 23226-1930 | 2013-10-10 |
| 1356778294 | Bon Secours Virginia Medical Group I, LLC | Pediatrics | 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 | 2013-10-10 |
| 1740617679 | Bon Secours Virginia Medical Group I, LLC | Pediatrics | 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 | 2013-10-10 |
| 1013344951 | Bon Secours Virginia Medical Group I, LLC | Psychiatry & Neurology | 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 | 2013-10-10 |
| 1730516675 | Bon Secours Virginia Medical Group I, LLC | Pediatrics | 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 | 2013-10-10 |
| 1619304557 | Bon Secours Virginia Medical Group I, LLC | Pediatrics | 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 | 2013-10-10 |
| Street Address |
1510 N 28TH ST SUITE 101 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23223-5311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336132216 | James Edward Frazier II | Pharmacist | 1510 N 28th St, Suite 100, Richmond, VA 23223-5332 | 2005-08-26 |
| 1174909733 | Renu Sadanandan | Nurse Practitioner | 1510 N 28th St, Suite 101, Richmond, VA 23223-5311 | 2015-08-06 |
| 1699176115 | Ife I Torrence | Nurse Practitioner | 1510 N 28th St, Suite 308, Richmond, VA 23223-5311 | 2014-09-16 |
| 1851703300 | Valerie South | Nurse Practitioner | 1510 N 28th St, Suite 305, Richmond, VA 23223-5311 | 2014-06-02 |
| 1730516634 | Bon Secours Virginia Medical Group I, LLC | Obstetrics & Gynecology | 1510 N 28th St, Suite 305, Richmond, VA 23223-5311 | 2013-10-09 |
| 1780029538 | Rebecca Elaine Sherard | Social Worker | 1510 N 28th St, Suite 101, Richmond, VA 23223-5311 | 2013-05-07 |
| 1144529207 | Bon Secours Memorial Regional Medical Center Inc | Psychiatry & Neurology | 1510 N 28th St, Mob, Suite 101, Richmond, VA 23223-5311 | 2011-03-15 |
| 1912209149 | Bon Secours Memorial Regional Medical Center Inc | Obstetrics & Gynecology | 1510 N 28th St, Suite 305, Richmond, VA 23223-5311 | 2010-11-19 |
| 1346569456 | Stephen John Popovich | Internal Medicine | 1510 N 28th St, Suite 308, Richmond, VA 23223-5311 | 2010-05-28 |
| 1063673390 | Bon Secours-virginia Healthsource, Inc. | Internal Medicine | 1510 N 28th St, Suite 204, Richmond, VA 23223 | 2008-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295291953 | Hope Pharmacy, Inc. | Pharmacy | 1330 N. 25th Street, Richmond, VA 23223 | 2019-02-18 |
| 1063918019 | Terri Ann Russell | Social Worker | Henrico County Public Schools, 3820 Nine Mile Rd., Henrico, VA 23223 | 2018-03-30 |
| 1871092171 | Sharon H. Joyner | Non-emergency Medical Transport (VAN) | 3217 Arthurwood Pl, Richmond, VA 23223 | 2018-02-02 |
| 1497275309 | Jennifer Lynn Dent | Physical Therapist | 10 S 20th Street, Unit U408, Richmond, VA 23223 | 2017-06-21 |
| 1568982551 | Andrea Sledd | Social Worker | 200 N. 22nd Street, Richmond, VA 23223 | 2017-06-21 |
| 1528597903 | Ashley Telisa Battle | Physical Therapy Assistant | 12100 Chancellors Village Lane, Fredericksburg, VI 23223 | 2017-06-08 |
| 1811436199 | Dedric Lee Sr. | Home Health Aide | 527 N Laburnum Ave Apt 2, Richmond, VA 23223 | 2017-02-20 |
| 1619424181 | Brighter Prospective Residential Services, LLC | Transportation Broker | 2509 Tonoka Road, Henrico, VA 23223 | 2016-09-01 |
| 1629425277 | Spread Your Wings | Non-emergency Medical Transport (VAN) | 709 Hallwood Farms Dr., Richmond, VA 23223 | 2016-05-24 |
| 1396120010 | Robert Reaves Griffin IIi | Pharmacist | 3601 Mechanicsville Turnpike, Richmond, VA 23223 | 2015-07-23 |
| Find all providers in zip 23223 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548881352 | Kevin Raymond Tarlow | Psychologist | 2000 Riverside Drive, Apt. 6c, Richmond, VA 23225 | 2020-05-04 |
| 1093251936 | Erica Hurley | Psychologist | 681 Hioaks Rd Ste E, Richmond, VA 23225-4043 | 2017-01-17 |
| 1952728008 | Sukhpinder Dhillon | Psychologist | 2120 Staples Mill Rd Ste 209, Richmond, VA 23230-2917 | 2014-03-26 |
| 1346679404 | Mollie Lyddane | Psychologist | 2 Bayside Ct, Richmond, CA 94804-7441 | 2013-11-08 |
| 1649617051 | Kathryn Rose Hefner | Psychologist | 2123 Rosewood Avenue, Richmond, VA 23220 | 2013-05-24 |
| 1639430093 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Psychologist | 5855 Bremo Rd Ste 404, Mob North, Richmond, VA 23226-1924 | 2012-06-01 |
| 1316248297 | Carolyn Etheridge Harrington | Psychologist | 5322 Stokes Ln, Richmond, VA 23226-1918 | 2010-11-09 |
| 1740502269 | Lynda Ann Benson Fereday | Psychologist | 521 Lancaster Ave Rm 571, Richmond, KY 40475-3100 | 2010-02-25 |
| 1104067495 | Arts for Replenishment and Change, Pllc | Psychologist | 530 E Main St Ste 420, Richmond, VA 23219-2431 | 2009-03-16 |
| 1255577573 | Mark Stuart Pirie | Psychologist | 631 30th St, Richmond, CA 94804-1525 | 2008-12-17 |
| Find all providers in RICHMOND | ||||
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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.