SPECTRUM TRANSFORMATION GROUP, LLC (NPI# 1174855985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174855985 |
| Entity Type | Organization |
| Organization Name | SPECTRUM TRANSFORMATION GROUP, LLC |
| Practice Address |
221 Stonebridge Plaza Ave Ste C North Chesterfield VA 23225-6972 |
| Practice Telephone | 8043786141 |
| Mailing Telephone | 8043786141 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | MR. CEDRIC MOORE JR. (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8043174307 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639560741 | Spectrum Transformation Group, LLC | Psychologist | 221 Stonebridge Plaza Ave Ste C, North Chesterfield, VA 23225-6972 | 2015-02-11 |
| Street Address |
221 STONEBRIDGE PLAZA AVE STE C |
| City | NORTH CHESTERFIELD |
| State | VA |
| Zip Code | 23225-6972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639560741 | Spectrum Transformation Group, LLC | Psychologist | 221 Stonebridge Plaza Ave Ste C, North Chesterfield, VA 23225-6972 | 2015-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524543 | Alliance Mental Health LLC | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 | 2020-10-08 |
| 1134734957 | Ai H Garner | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 | 2020-09-09 |
| 1659996023 | Amira Transport Inc. | Non-emergency Medical Transport (VAN) | 7400 Beaufont Springs Drive, Suite 300, North Chesterfield, VA 23225 | 2020-06-11 |
| 1548881352 | Kevin Raymond Tarlow | Psychologist | 2000 Riverside Drive, Apt. 6c, Richmond, VA 23225 | 2020-05-04 |
| 1619522000 | Spring Transport Inc | Non-emergency Medical Transport (VAN) | 2418 W Tremont Ct, Richmond, VA 23225 | 2019-08-02 |
| 1063976660 | Kelly Erin Mitchell | Nurse Practitioner | 7401 Beaufort Springs Dr, Suite 205, Richmond, VA 23225 | 2019-01-28 |
| 1760977540 | Marchett Hopkins | Counselor | 1601 Skilift Ln, Richmond, VA 23225 | 2018-06-25 |
| 1821582644 | Infinite Solutions Behavioral Services, LLC | Case Management | 6946 Forest Hill Ave Suite B, Richmond, VA 23225 | 2018-06-15 |
| 1922595230 | Andrea Ruth Steegmayer | Registered Nurse | Vcu Health System, 1250 E. Marshall Street, Richmond, VA 23225 | 2018-04-23 |
| 1306340153 | Eric Sheldon Jacobson | Internal Medicine | 2956 Hathaway Rd, Apt. 1101, Richmond, VA 23225 | 2018-03-19 |
| Find all providers in zip 23225 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639560741 | Spectrum Transformation Group, LLC | Psychologist | 221 Stonebridge Plaza Ave Ste C, North Chesterfield, VA 23225-6972 | 2015-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558911321 | Ashley Frantz | Psychologist | 1901 Running Creek Ct, Virginia Beach, VA 23454-5775 | 2019-09-13 |
| 1487110383 | Rena Elizabeth Courtney | Psychologist | 1970 Roanoke Blvd # 116a6, Salem, VA 24153-6404 | 2019-02-15 |
| 1124548698 | Meredith Taylor Wilmer | Psychologist | 1487 Chain Bridge Rd Ste 203, Mc Lean, VA 22101-5723 | 2017-06-26 |
| 1619338050 | Lindsey Michelle Capon Dogali | Psychologist | 7207 Statecrest Dr, Annandale, VA 22003-1644 | 2016-03-13 |
| 1023441318 | Sharonda L Avery | Psychologist | 302 Torbert Loop, Stafford, VA 22554-8452 | 2013-08-09 |
| 1588921605 | Ramasamy Manikam | Psychologist | 25 Professional Way, Suite 101, Verona, VA 24482-2584 | 2012-04-13 |
| 1962795872 | Reston Center for Learning, LLC | Psychologist | 12007 Sunrise Valley Dr Ste 220, Reston, VA 20191-3446 | 2011-05-25 |
| 1356668156 | Turn of A Newleaf,inc | Psychologist | 9693 Hagel Circle, Lorton, VA 22079 | 2010-05-03 |
| 1275782013 | Jennifer Ann Berger | Psychologist | 3961 Blysdale Ln, Woodbridge, VA 22192-7445 | 2008-09-17 |
| 1184890204 | Peter Gould | Psychologist | 10615 Judicial Dr, 102, Fairfax, VA 22030-7501 | 2008-05-08 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHESTERFIELD |
| Zip Code | 23225 |
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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.