CRIPPLED CHILDREN'S HOSPITAL (NPI# 1295958361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295958361 |
Entity Type | Organization |
Organization Name | CRIPPLED CHILDREN'S HOSPITAL |
Other Organization Name | CHILDREN'S HOSPITAL |
Practice Address |
2924 Brook Rd Richmond VA 23220-1215 |
Mailing Address |
2924 Brook Rd Children's Hospital Credentialing Dept Richmond VA 23220-1215 |
Practice Telephone | 8043217474 |
Practice Fax Number | 8043212728 |
Mailing Telephone | 8043217474 |
Mailing Fax Number | 8043212728 |
Enumeration Date | 2007-04-10 |
Last Update Date | 2020-08-22 |
Authorized Official Name | SAMUEL G. WEIDMAN (VICE PREDIDENT & CFO) |
Authorized Official Telephone | 8043217474 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 103G00000X | Clinical Neuropsychologist | H1842 | VA | Behavioral Health & Social Service Providers |
X | 103TC0700X |
Psychologist Specialization: Clinical |
H1842 | VA | Behavioral Health & Social Service Providers |
X | 1041C0700X |
Social Worker Specialization: Clinical |
H1842 | VA | Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
Children's Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386809044 | Crippled Children's Hospital | Clinic/Center | 321 B Poplar Drive, Suite 4 Children's Hospital Therapy Center, Petersburg, VA 23805 | 2008-07-22 |
1356564066 | Crippled Children's Hospital | Physical Therapist | 206 Twinridge Ln Ste A, Children's Hospital Bon Air Therapy Center, Richmond, VA 23235-5244 | 2007-04-11 |
1013030717 | Crippled Children's Hospital | Occupational Therapist | Lee's Hill Medical Center 10530 Spotsylvania Ave, Children's Hospital Therapy Center Suite 102, Fredericksburg, VA 22408 | 2007-04-09 |
1285771626 | Crippled Children's Hospital | Physical Therapist | 10530 Spotsylvania Ave, Suite 102 Children's Hospital Therapy Center, Fredericksburg, VA 22408 | 2007-02-01 |
1306983853 | Crippled Children's Hospital | Occupational Therapist | 10530 Spotsylvania Ave Suite 102, Children's Hospital Therapy Center, Fredericksburg, VA 22408 | 2007-01-31 |
1841258589 | Crippled Children's Hospital | General Acute Care Hospital | 2924 Brook Rd, Richmond, VA 23220-1215 | 2006-05-03 |
1720293467 | Crippled Children's Hospital | Dentist | 2924 Brook Rd, Children's Hospital, Richmond, VA 23220-1215 | 2007-05-14 |
1538382247 | Crippled Children's Hospital | Physical Therapist | 10124 W Broad St, Children's Hospital Therapy Center Suite K, Glen Allen, VA 23060-3330 | 2007-04-11 |
1619015682 | Crippled Children's Hospital | Clinic/Center | 2924 Brook Rd, Children's Hospital, Richmond, VA 23220-1215 | 2007-02-02 |
1093852436 | Crippled Children's Hospital | Speech-Language Pathologist | 10530 Spotsylvania Ave Suite 102, Children's Hospital Therapy Center, Fredericksburg, VA 22408 | 2007-02-01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | CRIPPLED CHILDREN'S HOSPITAL | 2924 Brook Rd, Richmond, Virginia 23220 |
Street Address |
2924 BROOK RD |
City | RICHMOND |
State | VA |
Zip Code | 23220-1215 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841258589 | Crippled Children's Hospital | General Acute Care Hospital | 2924 Brook Rd, Richmond, VA 23220-1215 | 2006-05-03 |
1104454271 | Zoe Amanda Levenson | Social Worker | 2924 Brook Rd, Richmond, VA 23220-1215 | 2020-04-01 |
1053672469 | Jessica Zinder Lynn | Occupational Therapist | 2924 Brook Rd, Children's Hospital of Richmond @ Vcu, Richmond, VA 23220-1215 | 2012-06-01 |
1164783585 | Christine Johnson Popp | Speech-Language Pathologist | 2924 Brook Rd, Children's Hosp of Richmond @ Vcu Credentilaing Dept, Richmond, VA 23220-1215 | 2012-06-01 |
1114286366 | Sangita Suresh Kling | Dietitian, Registered | 2924 Brook Rd, Children's Hospital of Richmond, Richmond, VA 23220-1215 | 2012-05-09 |
1831462233 | Heather Ann Downing | Physical Therapist | 2924 Brook Rd, Children's Hospital of Richmond, Richmond, VA 23220-1215 | 2012-02-15 |
1376815118 | Natalie Nicole Dmitrovich | Speech-Language Pathologist | 2924 Brook Rd, Children's Hospital of Richmond, Richmond, VA 23220-1215 | 2012-02-08 |
1386916443 | Kori A. Harrow | Speech-Language Pathologist | 2924 Brook Rd, Children's Hospital of Richmond, Richmond, VA 23220-1215 | 2012-02-06 |
1497026678 | Caitlin Boyle Trumbore | Nurse Practitioner | 2924 Brook Rd, Children's Hospital, Richmond, VA 23220-1215 | 2012-01-20 |
1528337623 | Stephanie Ann Keen-pilecki | Occupational Therapist | 2924 Brook Rd, Children's Hospital of Richmond, Richmond, VA 23220-1215 | 2011-12-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538637855 | Lindsay Kruger | Health Educator | 2 W Franklin Street, Richmond, VA 23220 | 2018-11-05 |
1578045993 | Lauren Jernegan | Physician Assistant | 204 S Mulberry St, Richmond, VA 23220 | 2018-09-01 |
1699266312 | Madhura Vikas Chitnavis | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Radiology, 980615, 1250 E Marshall St, Richmond, VA 23220 | 2018-05-29 |
1457842759 | Alfred Vann II | Social Worker | 119 W. Leigh St., Richmond, VA 23220 | 2018-05-22 |
1598269193 | Lilah Sol | Health Educator | Ymca, 2 W Franklin St., Richmond, VA 23220 | 2018-03-20 |
1568965531 | Anne Danforth | Health Educator | 2 West Franklin Street, Downtown Ymca, Richmond, VA 23220 | 2018-03-15 |
1154840791 | Constant Change Enterprises LLC | Counselor | 1805 Monument Avenue, Suite 208, Richmond, VA 23220 | 2017-09-14 |
1023534393 | Diane H Brown | Social Worker | 2106 Rosewood Avenue, Richmond, VA 23220 | 2017-08-18 |
1831624295 | Trent Roubleau | Student in an Organized Health Care Education/Training Program | 2114 Maplewood Ave, Richmond, VA 23220 | 2017-04-24 |
1679013312 | Blair Fine | Social Worker | 2117 West Main Street, Richmond, VA 23220 | 2017-02-28 |
Find all providers in zip 23220 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881961472 | Michael F Martelli | Clinical Neuropsychologist | 6001 Chamberlayne Rd, Richmond, VA 23227-1916 | 2011-11-26 |
1003073875 | John Francis House | Clinical Neuropsychologist | 9626 Peppertree Dr, Richmond, VA 23238-4476 | 2008-05-20 |
1083679492 | Pamela K Waaland | Clinical Neuropsychologist | 513 Forest Ave, S 203, Richmond, VA 23229-6850 | 2006-04-19 |
1427042530 | Laura Ashley Taylor | Clinical Neuropsychologist | 6714 Patterson Ave, Suite 103, Richmond, VA 23226-3432 | 2005-09-02 |
1720578974 | Richmond Geropsychological Associates | Clinical Neuropsychologist | 2800 N Parham Rd Ste 107, Richmond, VA 23294-4409 | 2018-05-14 |
1558736751 | Chad Parker Johnson | Clinical Neuropsychologist | 1250 E Marshall St, Child Neurology, Richmond, VA 23298-5051 | 2015-12-14 |
1144626631 | Ashlee Ruth Loughan | Clinical Neuropsychologist | 1250 E Marshall St, Dept. of Neurology, Richmond, VA 23298-5051 | 2014-11-10 |
1144570946 | Ana Lindsey Mills | Clinical Neuropsychologist | 1250 E Marshall St, Dept. of Physical Medicine and Rehab, Richmond, VA 23298-5051 | 2012-09-19 |
1003072406 | Paul Douglas Dukarm | Clinical Neuropsychologist | 8730 Stony Point Pkwy, Richmond, VA 23235 | 2008-08-05 |
1407010804 | Joy Ann O'grady | Clinical Neuropsychologist | 2010 Bremo Rd, Suite 127, Richmond, VA 23226-2444 | 2008-07-15 |
Find all providers in RICHMOND |
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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.