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).
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 |
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 |
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 |
Street Address |
5673 AIRPORT RD |
City | ROANOKE |
State | VA |
Zip Code | 24012-1119 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 24012 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
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] |
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 |
Find all providers in ROANOKE |
Please comment or provide details below to improve the information on INTERCEPT YOUTH SERVICES, INC.
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.