INDEPENDENCE PSYCHOTHERAPY SERVICES LLC


Address: 215 Mclaws Cir, Suite 1, Williamsburg, VA 23185-5799
Phone: 7573456428

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
VA INDEPENDENCE CHILD THERAPY SERVICES LLC 1417232802 01

Office Location

Street Address 215 MCLAWS CIR
SUITE 1
City WILLIAMSBURG
State VA
Zip Code 23185-5799

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City WILLIAMSBURG
Zip Code 23185

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Dataset Information

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.

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