NEWPORT NEWS BEHAVIORAL HEALTH CENTER (NPI# 1104297068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104297068 |
| Entity Type | Organization |
| Organization Name | NEWPORT NEWS BEHAVIORAL HEALTH CENTER |
| Practice Address |
17579 Warwick Blvd Newport News VA 23603-1343 |
| Practice Telephone | 7578880400 |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |
| Authorized Official Name | PAUL KIRKHAM (CEO) |
| Authorized Official Telephone | 7578880400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 0701006350 | VA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487026217 | Newport News Behavioral Health Center | Psychiatric Residential Treatment Facility | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2015-10-20 |
| 1699168724 | Newport News Behavioral Health Center | Psychiatric Residential Treatment Facility | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2015-03-13 |
| 1174722599 | Newport News Behavioral Health Center | Psychiatric Residential Treatment Facility | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2007-07-16 |
| Street Address |
17579 WARWICK BLVD |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23603-1343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043283443 | John G Phocas IIi | Psychiatry & Neurology | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2006-02-08 |
| 1497384739 | Destiny Katherine Douglas | Counselor | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2020-04-08 |
| 1225657463 | Ashley Carroll Tuttle | Counselor | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2020-04-08 |
| 1184271132 | Damian Thomas Tucker | Counselor | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2019-08-23 |
| 1871158394 | Erin Marie Coppedge | Psychologist | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2019-05-09 |
| 1801450465 | Jessica Carol Walters Houston | Counselor | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2019-04-29 |
| 1487130712 | Stacy Cross | Counselor | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2018-07-19 |
| 1275030090 | Tierra Ward Ruffin | Counselor | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2018-04-09 |
| 1922519255 | Emily Ann Anderson | Counselor | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2017-10-13 |
| 1235650508 | Allison Michelle Vaughan | Counselor | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2017-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710488291 | Amanda Banner Brown | Speech-Language Pathologist | 17346 Warwick Blvd, Newport News, VA 23603 | 2018-02-21 |
| 1124278783 | Suzanne Marie Garber | Social Worker | 1949 Von Steuben Dr., Newport News, VA 23603-1052 | 2008-09-19 |
| 1124526439 | Monique Yvette Newsome | Social Worker | 522 Tudor Ct, Newport News, VA 23603-1139 | 2018-02-01 |
| 1215348081 | Nichole Scott | Physical Therapist | 200 Enterprise Dr, Newport News, VA 23603-1300 | 2014-05-15 |
| 1902306681 | Christine Eagan | Psychologist | 17346 Warwick Blvd, Newport News, VA 23603-1323 | 2018-02-19 |
| 1588625610 | Craig Leslie Knott | Physician Assistant | 116 Lake Pointe Dr, Newport News, VA 23603-1375 | 2006-03-29 |
| 1043838733 | Loving Hearts & Home Transportation LLC | Non-emergency Medical Transport (VAN) | 117 Republic Rd Apt L, Newport News, VA 23603-1463 | 2020-07-08 |
| 1306453949 | Annette Wanki | Registered Nurse | 1939 Mortar Loop Apt A, Newport News, VA 23603-1502 | 2020-09-28 |
| 1871148080 | Kelly Marie Sanchez | Counselor | 1944 Mortar Loop Apt A, Newport News, VA 23603-1507 | 2019-08-05 |
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194154948 | The Newhope House, Inc. | Psychiatric Residential Treatment Facility | 1118 33rd St, Newport News, VA 23607-3606 | 2013-11-02 |
| 1487026217 | Newport News Behavioral Health Center | Psychiatric Residential Treatment Facility | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2015-10-20 |
| 1699168724 | Newport News Behavioral Health Center | Psychiatric Residential Treatment Facility | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2015-03-13 |
| 1174722599 | Newport News Behavioral Health Center | Psychiatric Residential Treatment Facility | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2007-07-16 |
| 1356360580 | Keystone Newport News, LLC | Psychiatric Residential Treatment Facility | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322598 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 4700 Monterey Dr, Annandale, VA 22003-5927 | 2020-06-30 |
| 1003372780 | Monroe Operations, LLC | Psychiatric Residential Treatment Facility | 1620 Davidson Rd, Mc Lean, VA 22101-4304 | 2019-02-18 |
| 1093271777 | Monroe Operations, LLC | Psychiatric Residential Treatment Facility | 1622 Davidson Rd, Mc Lean, VA 22101-4304 | 2019-02-18 |
| 1841770849 | Monroe Operations, LLC | Psychiatric Residential Treatment Facility | 1624 Davidson Rd, Mc Lean, VA 22101-4304 | 2018-08-19 |
| 1275025694 | Strategic Healthcare of Virginia, Incorporated | Psychiatric Residential Treatment Facility | 468 Dryden Loop, Dryden, VA 24243 | 2018-06-01 |
| 1497283527 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 10416 Burke Lake Rd, Fairfax Station, VA 22039-1808 | 2017-06-02 |
| 1932635976 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 5949 Oakdale Rd, Mc Lean, VA 22101-3331 | 2017-05-11 |
| 1750823399 | Safe Haven Transitional Youth Services | Psychiatric Residential Treatment Facility | 3021 Macallan Pkwy, Henrico, VA 23231-7269 | 2016-11-14 |
| 1619324753 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 7809 Schelhorn Rd, Alexandria, VA 22306-2825 | 2016-05-18 |
| 1356722722 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 5343 Summit Dr, Fairfax, VA 22030-6523 | 2015-06-11 |
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| City | NEWPORT NEWS |
| Zip Code | 23603 |
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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.