CARE CONNECT BEHAVIORAL HEALTH, LLC (NPI# 1699397786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699397786 |
Entity Type | Organization |
Organization Name | CARE CONNECT BEHAVIORAL HEALTH, LLC |
Practice Address |
3520 High St Ste 100 Portsmouth VA 23707-3126 |
Practice Telephone | 7572376257 |
Practice Fax Number | 7579629368 |
Mailing Telephone | 7572376257 |
Mailing Fax Number | 7579629368 |
Enumeration Date | 2020-05-12 |
Last Update Date | 2020-05-12 |
Authorized Official Name | MR. RONALD TAYLOR (CEO) |
Authorized Official Telephone | 7572376257 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
3520 HIGH ST STE 100 |
City | PORTSMOUTH |
State | VA |
Zip Code | 23707-3126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508410382 | Ricky Lee Key Sr. | Counselor | Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 | 2019-07-30 |
1528627965 | Amy M Baker | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 | 2019-06-10 |
1033774625 | Himani Bhasin | Student in an Organized Health Care Education/Training Program | 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 | 2019-05-08 |
1851854442 | Emma Daymond | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f, Portsmouth, VA 23707 | 2019-04-10 |
1407329543 | Heart Harmony Home Health and Services | Home Health | 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 | 2019-01-10 |
1548780869 | A. Richards Counseling & Psychotherapy, LLC | Substance Abuse Rehabilitation Facility | 720 Rodman Ave., Portsmouth, VA 23707 | 2017-06-27 |
1316485196 | Melinda Macy | Occupational Therapy Assistant | 314 Florida Ave, Portsmouth, VA 23707 | 2017-02-01 |
1831526045 | Anointed and Blessed Home Health Care, LLC | Home Health | 806 Loudoun Ave, Portsmouth, VA 23707 | 2013-10-02 |
1639236284 | The Center for Pain Management | Clinic/Center | 3315 High Street, Portsmouth, VA 23707 | 2007-01-02 |
1750444741 | Wal-mart Stores East, Lp | Technician/Technologist | 1098 Fredrick Blvd, Portsmouth, VA 23707 | 2006-12-19 |
Find all providers in zip 23707 |
Taxonomy Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639691629 | Cornerstone Clinics | Family Medicine | 802 Clare Ave Ste 101, Portsmouth, OH 45662-2583 | 2017-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477177590 | Appalachian Counseling and Medical, LLC | Family Medicine | 142 Mall Church Rd, Cedar Bluff, VA 24609-7081 | 2020-06-04 |
1083252704 | Kimberly Albero | Family Medicine | 1801 Wickham Pl, Charlottesville, VA 22901-9235 | 2019-12-12 |
1154898997 | Regional Health Providers LLC | Family Medicine | 3917 Old Lee Hwy Ste 11d, Fairfax, VA 22030-2431 | 2018-10-30 |
1568977940 | Renaissance Medical Care | Family Medicine | 284 Blevins Boulevard, Bristol, VA 24202 | 2017-12-07 |
1376054395 | Virginia Calyx Professional Services, LLC | Family Medicine | 681 Hioaks Rd Ste C, Richmond, VA 23225-4043 | 2017-10-17 |
1871026831 | Masaru Nishiaoki | Family Medicine | 501 N 2nd St # 100, Richmond, VA 23219-1359 | 2017-04-06 |
1083146302 | Affinity Healthcare Group Franklin LLC | Family Medicine | 6806 Forest Lake Ct, Suffolk, VA 23435-2935 | 2017-03-28 |
1437699766 | Affinity Healthcare Group Newport News, LLC | Family Medicine | 6000 Jefferson Ave, #b, Newport News, VA 23605-3266 | 2017-03-06 |
1952852261 | Watauga Recovery Center Wytheville | Family Medicine | 255 Holston Rd, Wytheville, VA 04382-4448 | 2016-10-21 |
1245574177 | Watauga Medical Group | Family Medicine | 300 Valley St, Ne, Abingdon, VA 24210 | 2012-11-15 |
Find all providers with the same taxonomy |
City | PORTSMOUTH |
Zip Code | 23707 |
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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.