INDEPENDENCE PSYCHOTHERAPY SERVICES LLC (NPI# 1306235783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306235783 |
Entity Type | Organization |
Organization Name | INDEPENDENCE PSYCHOTHERAPY SERVICES LLC |
Practice Address |
215 Mclaws Cir Suite 1 Williamsburg VA 23185-5799 |
Practice Telephone | 7573456428 |
Practice Fax Number | 7573456808 |
Mailing Telephone | 7573456428 |
Mailing Fax Number | 7573456808 |
Enumeration Date | 2015-01-22 |
Last Update Date | 2015-01-22 |
Authorized Official Name | DR. LINDA BOURDON REIN (DIRECTOR) |
Authorized Official Telephone | 7573456428 |
Authorized Official Credential | ED.D., LCP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | 07010005880 | VA | Behavioral Health & Social Service Providers |
N | 101Y00000X | Counselor | 08701003392 | VA | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810004468 | VA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | INDEPENDENCE CHILD THERAPY SERVICES LLC | 1417232802 | 01 |
Street Address |
215 MCLAWS CIR SUITE 1 |
City | WILLIAMSBURG |
State | VA |
Zip Code | 23185-5799 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194862813 | Stacia L Chapman-gorey | Social Worker | 215 Mclaws Cir, Williamsburg, VA 23185-5799 | 2007-01-31 |
1972953628 | Karen Dinuzzo | Psychologist | 215 Mclaws Cir, Suite 1, Williamsburg, VA 23185-5799 | 2016-06-14 |
1801037460 | Linda S. Bourdon | Psychologist | 215 Mclaws Cir, Suite 1, Williamsburg, VA 23185-5799 | 2009-03-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215579412 | Marian Shearin | Technician | 112 Indian Circle, Williamsburg, VA 23185 | 2019-10-09 |
1093363251 | 1st Choice In-homecare, Inc. | Durable Medical Equipment & Medical Supplies | 161-a John Jefferson Road Ste 101, Williamsburg, VA 23185 | 2019-08-30 |
1265939482 | Michelle Antionette Hill | Counselor | 1769 Jamestown Rd Ste 107, Williamsburg, VA 23185 | 2018-04-13 |
1114437480 | Kimberly Anne Allan | Orthotic Fitter | 1811 Jamestown Rd., Williamsburg, VA 23185 | 2017-10-02 |
1881115590 | Shawn Patrick Mcnulty | Counselor | Colonial Behavioral Health, 1657 Merrimac Trail, Williamsburg, VA 23185 | 2017-07-03 |
1790215986 | Sea Change Therapy Pllc | Community/Behavioral Health | 3308 Ash Vw, Williamsburg, VA 23185 | 2017-06-19 |
1316479322 | Maureen Bounds | Pharmacist | 230 Gooch Dr, Williamsburg, VA 23185 | 2017-03-29 |
1386196970 | Joshua Desilva | Psychologist | 240 Gooch Drive, 2nd Floor, Williamsburg, VA 23185 | 2016-10-29 |
1750837001 | Ellen Lerose | Pharmacist | 5601-b Richmond Road, Williamsburg, VA 23185 | 2016-08-28 |
1194173922 | Michael C. Shuck, Dds PC | Dentist | 1480 Quarterpath Rd, Ste 2a, Williamsburg, VA 23185 | 2016-06-02 |
Find all providers in zip 23185 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881204097 | Maria Elena Burke | Psychologist | 108 Colonels Way, Williamsburg, VA 23185-5105 | 2020-08-03 |
1811515794 | Thomas Craig Foster Jr. | Psychologist | 115 Bulifants Blvd Ste A, Williamsburg, VA 23188-5720 | 2020-07-08 |
1316404569 | Elizabeth Schwaiger | Psychologist | 118 Bissell Rd, Williamsburg, MA 01096-9415 | 2019-02-25 |
1386196970 | Joshua Desilva | Psychologist | 240 Gooch Drive, 2nd Floor, Williamsburg, VA 23185 | 2016-10-29 |
1588016901 | Philip Scrofani | Psychologist | 3966 Polly Ct, Williamsburg, VA 23188-4509 | 2016-07-09 |
1184000259 | William Edward Nichelson IIi | Psychologist | 4740 Regents Park, Williamsburg, VA 23188-1798 | 2015-07-30 |
1710362389 | Susanna Owens | Psychologist | 352 Mclaws Cir Ste 3, Williamsburg, VA 23185-6347 | 2015-07-24 |
1376865774 | Behavioral Arts, LLC | Psychologist | 402 W Duke of Gloucester St, Suite 218, Williamsburg, VA 23185-3660 | 2010-02-26 |
1285960377 | Peninsula Psychotherapy Center | Psychologist | 306 High Point Rd, Williamsburg, VA 23185-5847 | 2009-10-23 |
1063653343 | Thomas Lee Weet | Psychologist | 115 Rich Neck Rd, Williamsburg, VA 23185-3245 | 2009-03-16 |
Find all providers in WILLIAMSBURG |
City | WILLIAMSBURG |
Zip Code | 23185 |
Please comment or provide details below to improve the information on INDEPENDENCE PSYCHOTHERAPY SERVICES LLC.
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.