RESTORATIVE YOUTH SERVICES (NPI# 1891053344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891053344 |
| Entity Type | Organization |
| Organization Name | RESTORATIVE YOUTH SERVICES |
| Practice Address |
646 Holly Corner Rd Fredericksburg VA 22406-5308 |
| Mailing Address |
Po Box 149 Dahlgren VA 22448-0149 |
| Practice Telephone | 5406630574 |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |
| Authorized Official Name | DR. K FITZSIMMONS (PRESIDENT) |
| Authorized Official Telephone | 5406630574 |
| Authorized Official Credential | PSY.D, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Street Address |
646 HOLLY CORNER RD |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22406-5308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528228079 | Structures Youth Home Inc | Community Based Residential Treatment Facility, Mental Illness | 646 Holly Corner Rd, Fredericksburg, VA 22406-5308 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964599 | Mary Washington Healthcare Clinical Services Inc | Clinic/Center | 10 Stafford Lakes Pkwy, Suite 100, Fredericksburg, VA 22406 | 2020-02-14 |
| 1003446402 | Mwhc Urgent Care LLC | Clinic/Center | 10 Stafford Lakes Parkway, Stafford, VA 22406 | 2020-01-24 |
| 1033629142 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 127 Litchfield Blvd, Fredericksburg, VA 22406 | 2017-10-03 |
| 1689110090 | Billiejo Yeater | Occupational Therapy Assistant | 60 Brimley Drive, Fredericksburg, VA 22406 | 2017-01-09 |
| 1285010090 | Dana Hitt | Behavioral Analyst | 492 Cropp Rd., Fredericksburg, VA 22406 | 2015-08-04 |
| 1669774147 | Jason Todd Derting | Physical Therapy Assistant | 140 Brimley Road, Fredericksburg, VA 22406 | 2010-12-03 |
| 1891019733 | Stafford Healthcare Group, Inc. | Skilled Nursing Facility | 140 Brimley Drive, Fredericksburg, VA 22406 | 2010-03-22 |
| 1689900623 | Joseph Glenn Hoe | Radiologic Technologist | 754 Warrenton Road, Suite 113, Fredericksburg, VA 22406 | 2009-10-27 |
| 1801080932 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 53 Stanstead Rd, Fredericksburg, VA 22406 | 2007-08-31 |
| 1285763193 | Leslie Elaine White | Pharmacist | 1095 International Parkway, Rite Aid Pharmacy, Fredericksburg, VA 22406 | 2007-03-05 |
| Find all providers in zip 22406 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336619667 | The Discovery School of Virginia, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2697 Copper Mine Road, Dillwyn, VA 23936-2393 | 2018-11-29 |
| 1184102188 | Limitless Growth | Residential Treatment Facility, Emotionally Disturbed Children | 115 Reese Dr, Danville, VA 24540-1185 | 2018-08-01 |
| 1871099721 | Imagination LLC | Residential Treatment Facility, Emotionally Disturbed Children | 318 N Wilkinson Rd, Richmond, VA 23227-1631 | 2018-03-31 |
| 1245698935 | Summer House | Residential Treatment Facility, Emotionally Disturbed Children | 16056 Elderly Ln, Timberville, VA 22853-2922 | 2016-02-09 |
| 1194105346 | Tamara Doud | Residential Treatment Facility, Emotionally Disturbed Children | 165 Motoka Dr Apt 1, Newport News, VA 23602-4053 | 2015-06-03 |
| 1679953871 | Just Understanding My Priorities | Residential Treatment Facility, Emotionally Disturbed Children | 7109 Barry Rd, Alexandria, VA 22315-3408 | 2015-06-02 |
| 1538507983 | Alc Youth & Family Services, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 14200 Kentwood Forest Dr, Chester, VA 23831-8029 | 2013-06-07 |
| 1366790107 | Hamlet House Youth Services, IIi LLC | Residential Treatment Facility, Emotionally Disturbed Children | 206 Carlstone Dr, Highland Springs, VA 23075-2503 | 2012-08-28 |
| 1417214149 | Turning Point Home for Boys, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4701 Stonehurst Dr, Woodbridge, VA 22192-5727 | 2012-04-19 |
| 1699046094 | Intercept Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 410 Adkins Rd, North Chesterfield, VA 23236-2833 | 2012-01-18 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 22406 |
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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.