AIDS/HIV SERVICES GROUP INC. (NPI# 1215298724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215298724 |
| Entity Type | Organization |
| Organization Name | AIDS/HIV SERVICES GROUP INC. |
| Practice Address |
315 10th St Ne Charlottesville VA 22902-5316 |
| Practice Telephone | 4349797714 |
| Practice Fax Number | 4349840249 |
| Mailing Telephone | 4349797714 |
| Mailing Fax Number | 4349840249 |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2013-12-26 |
| Authorized Official Name | DR. PETER MARTINO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4349797714 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1052403287 | 05 | |
| VA | 1710208608 | 05 | |
| VA | 1215298724 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | AIDS/HIV Services Group Inc. | 315-10th Street Ne, P O Box 2322, Charlottesville, Virginia 22902 |
| Street Address |
315 10TH ST NE |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22902-5316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871570002 | Ann Marie Klecan | Family Medicine | 315 10th St Ne, Charlottesville, VA 22902 | 2005-12-29 |
| 1548309008 | Thomas Kevin Sweeney | Family Medicine | 315 10th St Ne, Charlottesville, VA 22902 | 2007-02-05 |
| 1841201704 | David Freeman Silver | Psychiatry & Neurology | 315 10th St Ne, Charlottesville, VA 22902-5316 | 2006-08-10 |
| 1841246600 | William Robert Dandridge Jr. | Family Medicine | 315 10th St Ne, Charlottesville, VA 22902 | 2006-05-25 |
| 1831163575 | Ernest O Pugh | Family Medicine | 315 10th St Ne, Charlottesville, VA 22902-5316 | 2006-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699263608 | Jeraline Rachele Evans | Health Educator | 151 Mcintire Park Dr. (piedmont Family Ymca), Charlottesville, VA 22902 | 2018-04-25 |
| 1457853905 | Elizabeth Blaker Tyson Walter | Speech-Language Pathologist | 401 Mcintire Rd. Room 323, Charlottesville, VA 22902 | 2018-03-01 |
| 1376056317 | Erin E Horn | Psychologist | 302 Park St Ste 204, Charlottesville, VA 22902 | 2017-11-13 |
| 1023429982 | Barrie Gleason Carveth | Nurse Practitioner | 435 Merchant Walk Sq, Charlottesville, VA 22902 | 2014-05-14 |
| 1285054825 | Alfred N. Yarbrough | Dentist | 1101 East Jefferson Street, Suite 7, Charlottesville, VA 22902 | 2014-04-22 |
| 1801227400 | Fox & Brantley Internal Medicine, A Division of Anchor Healthcare, Plc | Internal Medicine | 908 E Jeffeson St, Suite G1, Charlottesville, VA 22902 | 2013-12-06 |
| 1245557982 | Wendy Price Summer | Counselor | 509 Park Street, Charlottesville, VA 22902 | 2010-04-20 |
| 1659520914 | Christie Marie Savage | Acupuncturist | 108 5th St Se, Suite 207, Charlottesville, VA 22902 | 2008-09-11 |
| 1376733063 | Alison C. Derbes | Radiology | 107 S 1st St, Apartment 401, Charlottesville, VA 22902 | 2007-07-28 |
| 1275732901 | Cali Belknap Gaston | Acupuncturist | 420 Third Street, Ne, Charlottesville, VA 22902 | 2007-07-12 |
| Find all providers in zip 22902 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609246974 | Bonnie Lungren LLC | Community/Behavioral Health | 315 Winding River Ln Ste 201, Charlottesville, VA 22911-3568 | 2015-09-30 |
| 1013391564 | Gavin Connor, L.p.c. | Community/Behavioral Health | 700 Harris St Ste 106, Charlottesville, VA 22903-4584 | 2015-07-15 |
| 1285992743 | Compass Counseling Services of Virginia | Community/Behavioral Health | 1006 E Market St Ste C, Charlottesville, VA 22902-5374 | 2012-05-02 |
| 1649591603 | The New Y-capp Inc. | Community/Behavioral Health | 2307 Commonwealth Dr, Charlottesville, VA 22901-1637 | 2010-06-14 |
| 1578887295 | People Places, Inc. | Community/Behavioral Health | 1002 E Jefferson St, Charlottesville, VA 22902-5328 | 2010-03-24 |
| 1427193010 | Region Ten Community Services Board | Community/Behavioral Health | 314 6th St Se, Charlottesville, VA 22902 | 2007-02-21 |
| 1639783756 | Better Way Counseling, LLC | Community/Behavioral Health | 335 Rio Rd W Ste 203, Charlottesville, VA 22901-1311 | 2020-09-04 |
| 1154881068 | Integrative Healing, LLC | Community/Behavioral Health | 875c Rio East Ct, Charlottesville, VA 22901-8004 | 2019-03-25 |
| 1932668647 | Deborah Sinek, Phd LLC | Community/Behavioral Health | 100 E South St Ste 2, Charlottesville, VA 22902-5217 | 2019-03-13 |
| 1447782156 | John Curt Gleeson | Community/Behavioral Health | 500 Old Lynchburg Rd, Charlottesville, VA 22903-6500 | 2017-03-31 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22902 |
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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.