EASTERN SHORE COMMUNITY MH MR SAS SERVICES BOARD (NPI# 1154411510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154411510 |
| Entity Type | Organization |
| Organization Name | EASTERN SHORE COMMUNITY MH MR SAS SERVICES BOARD |
| Other Organization Name | EASTERN SHORE BEHAVIORAL HEALTHCARE CENTER |
| Practice Address |
19056 Greenbush Rd Parksley VA 23421 |
| Mailing Address |
Po Box 453 Nassawadox VA 23413-0453 |
| Practice Telephone | 7576651260 |
| Practice Fax Number | 7576654184 |
| Mailing Telephone | 7574423636 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-11-05 |
| Authorized Official Name | MR. JAMES A CANNON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7574423636 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Eastern Shore Behavioral Healthcare Center | Doing Business As Name - Organization |
| Street Address |
19056 GREENBUSH RD |
| City | PARKSLEY |
| State | VA |
| Zip Code | 23421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902439516 | Caitlin Ford | Social Worker | 19056 Greenbush Rd, Parksley, VA 23421 | 2020-02-21 |
| 1366994360 | Lori Birch Graham | Counselor | 19056 Greenbush Rd, Parksley, VA 23421 | 2016-10-26 |
| 1376793083 | Jayne Anne Carrels-zeller | Counselor | 19056 Greenbush Rd, Parksley, VA 23421-5863 | 2008-09-30 |
| 1336229335 | Dayl Reid-roberts | Counselor | 19056 Greenbush Rd, Parksley, VA 23421 | 2006-10-16 |
| 1609966084 | Shenay Wharton | Counselor | 19056 Greenbush Rd, Parksley, VA 23421 | 2006-10-13 |
| 1225128606 | Maudene Sherman | Counselor | 19056 Greenbush Rd, Parksley, VA 23421 | 2006-10-13 |
| 1710077193 | Debra Jeanne Wharton | Counselor | 19056 Greenbush Rd, Parksley, VA 23421 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255727715 | Nidya De La Torre | Dentist | 24501 Parksley Road, Parksley, VA 23421 | 2015-04-11 |
| 1467868877 | Monica Boole Layne | Nurse Practitioner | 17835 Lankford Highway, Parksley, VA 23421 | 2014-07-07 |
| 1174945489 | Shore Transport Services Inc. | Non-emergency Medical Transport (VAN) | 24076 Lee Mont Rd., Parksley, VA 23421 | 2014-01-07 |
| 1639300726 | Sasha Baier | Counselor | 19056 Greenbush Rd., Parksley, VA 23421 | 2009-08-06 |
| 1699879312 | Tian Fei | Dentist | 24277 Cooke St, Parksley, VA 23421 | 2006-09-12 |
| 1295730265 | Runningers Pharmacy Inc | Pharmacy | 18465 Dunne Ave, Parksley, VA 23421 | 2005-06-16 |
| 1316586225 | Paige Rew Mclean | Social Worker | 19056 Greenbush Road, Parksley, VA 23421 | 2019-12-26 |
| 1205493897 | Beverly Turner | Counselor | 18469 Dunne Ave, Parksley, VA 23421 | 2019-05-20 |
| 1275089930 | Susan Renee Johnson | Counselor | 19056 Greenbush Road, Parksley, VA 23421 | 2016-08-31 |
| 1386018760 | Alicia Nicole Rose | Nurse Practitioner | 19056 Greenbush Road, Parksley, VA 23421 | 2015-11-22 |
| Find all providers in zip 23421 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639300726 | Sasha Baier | Counselor | 19056 Greenbush Rd., Parksley, VA 23421 | 2009-08-06 |
| 1205493897 | Beverly Turner | Counselor | 18469 Dunne Ave, Parksley, VA 23421 | 2019-05-20 |
| 1891210746 | Eastern Shore Community Services Board | Counselor | 19056 Greenbush Road, Eastern Shore Behavior Healthcare Center, Parksley, VA 23421-9998 | 2017-08-11 |
| 1477984037 | Ellen S Miles | Counselor | 19056 Greenbush Rd., Parksley, VA 23421 | 2013-12-09 |
| 1063600344 | Virginia Ravizza | Counselor | 19056 Greenbush Road, Eastern Shore Behavioral Healthcare Ctr, Parksley, VA 23421-0000 | 2007-10-11 |
| 1194919928 | Sharon Parker | Counselor | 19056 Greenbush Road, Parksley, VA 23421 | 2007-09-05 |
| 1720272552 | Scott Field | Counselor | 19056 Greenbush Road, Parksley, VA 23421 | 2007-09-05 |
| 1871647578 | Deborah Linnell | Counselor | 19056 Greenbush Road, Parksley, VA 23421 | 2007-01-22 |
| 1336229335 | Dayl Reid-roberts | Counselor | 19056 Greenbush Rd, Parksley, VA 23421 | 2006-10-16 |
| 1609966084 | Shenay Wharton | Counselor | 19056 Greenbush Rd, Parksley, VA 23421 | 2006-10-13 |
| Find all providers in PARKSLEY | ||||
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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.