INTERCEPT YOUTH SERVICES, INC


Address: 5673 Airport Rd, Roanoke, VA 24012-1119
Phone: 5405238080

INTERCEPT YOUTH SERVICES, INC (NPI# 1144560186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144560186
Entity Type Organization
Organization Name INTERCEPT YOUTH SERVICES, INC
Practice Address 5673 Airport Rd
Roanoke
VA 24012-1119
Practice Telephone 5405238080
Practice Fax Number 5405628867
Mailing Telephone 5405238080
Mailing Fax Number 5405628867
Enumeration Date 2013-02-28
Last Update Date 2020-09-24
Authorized Official Name DON KAMENCIK (CFO)
Authorized Official Telephone 8048641320
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
N 251S00000X Community/Behavioral Health Agencies
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1689287468 Intercept Youth Services, Inc Psychiatry & Neurology 5511 Staples Mill Rd Ste 102, Richmond, VA 23228-5445 2020-08-31
1518448331 Intercept Youth Services, Inc Community/Behavioral Health 5511 Staples Mill Rd Ste 102, Richmond, VA 23228-5445 2018-08-29
1730608217 Intercept Youth Services, Inc Psychiatry & Neurology 5673 Airport Rd, Roanoke, VA 24012-1119 2017-09-15
1497198881 Intercept Youth Services, Inc Community/Behavioral Health 5511 Staples Mill Rd, Suite 102, Richmond, VA 23228-5445 2013-04-16
1922254267 Intercept Youth Services, Inc Residential Treatment Facility, Emotionally Disturbed Children 10187 Brook Rd, Glen Allen, VA 23059-6508 2008-08-18

Office Location

Street Address 5673 AIRPORT RD
City ROANOKE
State VA
Zip Code 24012-1119

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922021625 David Scott Hungate Physician Assistant 5673 Airport Rd, Roanoke, VA 24012-1119 2006-07-25
1538701297 Melinda Turner Black Counselor 5673 Airport Rd, Roanoke, VA 24012-1119 2019-10-15
1720640832 Amanda Buchmeier Behavioral Analyst 5673 Airport Rd, Roanoke, VA 24012-1119 2019-06-28
1275197980 Rashadah Jordan Physician Assistant 5673 Airport Rd, Roanoke, VA 24012-1119 2019-04-29
1053882985 Whitney Erin Gendron Walker Counselor 5673 Airport Rd, Roanoke, VA 24012-1119 2018-12-17
1528539715 Michael Carter Marriage & Family Therapist 5673 Airport Rd, Roanoke, VA 24012-1119 2018-12-16
1417422791 Courtney Canterbury Ashby Counselor 5673 Airport Rd, Roanoke, VA 24012-1119 2018-10-12
1871093401 Jenna Nicole Crozier Physician Assistant 5673 Airport Rd, Roanoke, VA 24012-1119 2018-02-20
1700391604 Brandon Rose Social Worker 5673 Airport Rd, Roanoke, VA 24012-1119 2017-12-13
1295249944 Mary Beth Overstreet Counselor 5673 Airport Rd, Roanoke, VA 24012-1119 2017-11-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215440359 Sahar Rafiq Dentist 3802 Apricot Trl, Roanoke, VA 24012 2017-11-12
1790202695 Friendship Pharmacy, Inc. Pharmacy 327 Hershberger Rd., Roanoke, VA 24012 2017-08-23
1760912901 Odyssey Healthcare Operating B, Lp Hospice Care, Community Based 1318 Plantation Rd Ne, Roanoke, VA 24012 2017-06-19
1770019622 Eisa Jawad Abu Munshar Dentist 4753 Valley View Blvd Nw, Roanoke, VA 24012 2017-05-11
1447702303 Kartesz Eye Associates Inc. Optometrist 4922 Vally View Blvd., Roanoke, VA 24012 2016-10-26
1740638220 Kevin E Steinberger Physical Therapist 2730 Forest Oak Dr, Roanoke, VA 24012 2016-05-25
1740637883 Professional Health Care Services, Inc. In Home Supportive Care 367 Hershberger Rd., Nw, Roanoke, VA 24012 2016-05-18
1497129787 M Zaher Aymach Dentist 1502 Williamson Rd Ne Ste A, Roanoke, VA 24012 2015-11-24
1518223916 Katherine Rash Social Worker 3003 Hollins Road, Roanoke, VA 24012 2012-04-10
1841525383 William Kastern, O.d., Ph.d., LLC Optometrist 4822c Valley View Blvd., Roanoke, VA 24012 2009-10-15
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881202729 Bagla LLC Psychiatry & Neurology 2103 Electric Rd Ste A, Roanoke, VA 24018-2303 2020-07-16
1427561059 Greenbrook Tms Roanoke Psychiatry & Neurology 2965 Colonnade Dr Ste 307, Roanoke, VA 24018-3541 2017-11-06
1851646517 Bhuvaneshwar Pagadala Psychiatry & Neurology 3164 Berry Ln Apt 113, Roanoke, VA 24018-6329 2012-07-18
1003111238 Advanced Telepsychiatry, Inc. Psychiatry & Neurology 5372 Fallowater Lane, Suite C, Roanoke, VA 24018 2011-01-19
1487965471 Janet George Philps Psychiatry & Neurology 3959 Electric Rd Ste 280, Roanoke, VA 24018-4572 2010-06-24
1568785376 Horizon Med Inc Psychiatry & Neurology 4950 Brambleton Ave, Unit B, Roanoke, VA 24018-4119 2010-03-08
1265698930 Sanjeev Kumar Psychiatry & Neurology 5400 Bernard Dr, F-205, Roanoke, VA 24018-0929 2008-08-01
1316108160 Saadia Ajmal Sheikh Psychiatry & Neurology 6420 Eastshire Ct, Roanoke, VA 24018-6611 2008-06-24
1306030143 Adetokunbo A Ladenika Psychiatry & Neurology 5260 Crossbow Cir, Unit 2c, Roanoke, VA 24018-9228 2007-09-05
1275727232 Hilda Braverman Templeton Psychiatry & Neurology 24 Walnut Ave Sw, Roanoke, VA 24016-4719 2007-09-04
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Competitor

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City ROANOKE
Zip Code 24012

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Dataset Information

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.

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