FAMILY BEHAVIORAL HEALTH ASSOCIATES, LLC (NPI# 1932290624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932290624 |
Entity Type | Organization |
Organization Name | FAMILY BEHAVIORAL HEALTH ASSOCIATES, LLC |
Practice Address |
5001 W Village Green Dr Suite 211 Midlothian VA 23112-4801 |
Practice Telephone | 8047449652 |
Practice Fax Number | 8047441265 |
Mailing Telephone | 8047449652 |
Mailing Fax Number | 8047441265 |
Enumeration Date | 2006-09-27 |
Last Update Date | 2013-01-11 |
Authorized Official Name | DR. WILLIAM T. BURKE (MANAGING PARTNER) |
Authorized Official Telephone | 8047449652 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0015000796 | VA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810000953 | VA | Behavioral Health & Social Service Providers |
Street Address |
5001 W VILLAGE GREEN DR SUITE 211 |
City | MIDLOTHIAN |
State | VA |
Zip Code | 23112-4801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346248812 | William T. Burke | Psychologist | 5001 W Village Green Dr, Suite 211, Midlothian, VA 23112-4801 | 2005-07-08 |
1558675405 | Mark Anthony Haith | Physical Therapist | 5001 W Village Green Dr, Suite 203, Midlothian, VA 23112-4801 | 2010-08-03 |
1033442041 | Women's Health First, Pllc | Clinic/Center | 5001 W Village Green Dr, Suite 109, Midlothian, VA 23112-4801 | 2009-09-09 |
1063697522 | Kevin Bruce Ford | Physical Therapist | 5001 W Village Green Dr, Suite 203, Midlothian, VA 23112-4801 | 2008-01-03 |
1114108818 | Nancy Jean Placide | Physical Therapist | 5001 W Village Green Dr, Suite 203, Midlothian, VA 23112-4801 | 2007-11-21 |
1427179886 | Kristen Torrence Sowers | Physical Therapist | 5001 W Village Green Dr, Suite 203, Midlothian, VA 23112-4801 | 2007-04-03 |
1811942931 | Midlothian Primary Care, Ltd. | Family Medicine | 5001 W Village Green Dr, Suite 205, Midlothian, VA 23112-4801 | 2006-05-24 |
1346292158 | Joseph Thomas Bones | Pediatrics | 5001 W Village Green Dr, Suite 105-107, Midlothian, VA 23112-4801 | 2006-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982170080 | Shonmarra Ylexus Glover | Behavior Technician | 5950 Harbour Lane, Midlothian, VA 23112 | 2018-10-17 |
1841778917 | Brett Stires | Behavior Technician | 5950 Harbourt Park Dr, Midlothian, VA 23112 | 2018-08-01 |
1538655899 | Surbhi Chandna | Dentist | 5921 Harbour Ln Ste 500, Midlothian, VA 23112 | 2018-07-10 |
1184121584 | Katie Marie Kashmer | Behavioral Analyst | 5950 Barbour Park Lane, Midlothian, WA 23112 | 2018-04-11 |
1497259832 | Ruth Lynn Kitchens | Occupational Therapist | 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-21 |
1487157301 | Susan Stoodt Price | Occupational Therapist | Chesterfield Technical Center Hull, 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-16 |
1922500495 | Rayna Veney Piper | Speech-Language Pathologist | 13900 Hull Street Road, Midlothian, VA 23112 | 2018-03-01 |
1891202883 | Rochelle Wallace | Behavioral Analyst | 5950 Harbourt Park Dr., Midlothian, VA 23112 | 2017-12-29 |
1184138448 | Virginia Medical & Therapeutic Services | Counselor | 13540 E Boundary Rd, Midlothian, VA 23112 | 2017-11-24 |
1386169118 | Brandon Poen | Physical Therapist | 2820 Waterford Lake Dr., Unit 013, Midlothian, VA 23112 | 2017-08-14 |
Find all providers in zip 23112 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699385013 | Celeste Macdonald Kelly | Psychologist | 250 Wylderose Cmns, Midlothian, VA 23113-6883 | 2020-08-01 |
1447736806 | Kaitlin Elizabeth Bountress | Psychologist | 15521 Midlothian Tpke Ste 105, Midlothian, VA 23113-7313 | 2018-07-18 |
1801215066 | Krystal Studivant Nowak | Psychologist | 1 Park West Cir Ste 306n, Midlothian, VA 23114-5552 | 2014-04-15 |
1245675958 | Ashley Marie Foresman | Psychologist | 13901 Coalfield Commons Pl Ste 102, Midlothian, VA 23114-1216 | 2013-05-08 |
1952603409 | Lindsey Kate Slaughter | Psychologist | 13321 Diamond Ridge Dr, Midlothian, VA 23112-8340 | 2010-12-03 |
1831407824 | Lee Saecker Ridens | Psychologist | 13821 Village Mill Dr Ste B, Midlothian, VA 23114-4314 | 2010-09-23 |
1316177041 | James R Moon | Psychologist | 12807 Rossmere Ct, Midlothian, VA 23114-3093 | 2009-07-15 |
1821241365 | Andrew Charles Cox | Psychologist | 13354 Midlothian Tpke Ste 200, Midlothian, VA 23113-4258 | 2008-10-28 |
1174771737 | Melinda Beth Moore | Psychologist | 15521 Midlothian Turnpike, Suite 105, Midlothian, VA 23114 | 2008-09-08 |
1689861247 | Mary Hill Bradshaw | Psychologist | 5715 Saddle Hill Dr, Midlothian, VA 23112-2383 | 2007-09-27 |
Find all providers in MIDLOTHIAN |
City | MIDLOTHIAN |
Zip Code | 23112 |
Please comment or provide details below to improve the information on FAMILY BEHAVIORAL HEALTH ASSOCIATES, LLC.
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.