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COUNTY OF CHESTERFIELD VIRGINIA NPI 1336293000


NPI Information

NPI: 1336293000
Provider Name: COUNTY OF CHESTERFIELD VIRGINIA

Doing Business As: CHESTERFIELD COMMUNITY SERVICES BOARD

Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Organization

Specialization: Geriatric Psychiatry

Address:
6801 LUCY CORR CT
CHESTERFIELD, VA
ZIP 23832
Phone: (804) 748-1227
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COUNTY OF CHESTERFIELD VIRGINIA is a geriatric psychiatry psychiatry neurology in Chesterfield, VA. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. COUNTY OF CHESTERFIELD VIRGINIA NPI is 1336293000. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Chesterfield Community Services Board.

The provider's business location address is:

6801 LUCY CORR CT
CHESTERFIELD, VA
ZIP 23832-657
Phone: (804) 748-1227
Fax: (804) 717-6659

The provider's authorized official is Debbie Burcham .
The authorized official title is Executive Director and has the following contact phone number (804) 768-7220.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 8/15/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YP2500XCounselorProfessional222-07-004VIRGINIANo
3103T00000XPsychologist222-07-004VIRGINIANo
4251S00000XCommunity/Behavioral Health222-02-001VIRGINIANo
51041C0700XSocial WorkerClinical222-07-004VIRGINIANo
6106H00000XMarriage & Family Therapist222-07-004VIRGINIANo
72084P0800XPsychiatry & NeurologyPsychiatry222-07-004VIRGINIANo
82084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry222-07-004VIRGINIANo
92084P0805XPsychiatry & NeurologyGeriatric Psychiatry222-07-004VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11336293000MEDICAIDVIRGINIA
2C00801OTHERVIRGINIAMEDICARE GROUP PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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