COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVI (NPI# 1346223153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346223153 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVI |
| Other Organization Name | EASTERN STATE HOSPITAL |
| Practice Address |
4601 Ironbound Rd Williamsburg VA 23188-2652 |
| Practice Telephone | 7572535241 |
| Practice Fax Number | 7572535065 |
| Mailing Telephone | 7572535241 |
| Mailing Fax Number | 7572535065 |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2011-06-06 |
| Authorized Official Name | MR. JACK L WOOD (HOSPITAL DIRECTOR) |
| Authorized Official Telephone | 7572535241 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVIORAL HEALTH AN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BC423 | 007814 | 01 |
| Other Name | Type Code |
|---|---|
| Eastern State Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205936614 | Commonwealth of Virginia Department of Behavi | General Acute Care Hospital | 4601 Ironbound Rd, Williamsburg, VA 23188-2652 | 2006-09-25 |
| 1114027521 | Commonwealth of Virginia Department of Behavi | Intermediate Care Facility, Mental Illness | 4601 Ironbound Rd, Williamsburg, VA 23188-2652 | 2006-09-25 |
| 1023118437 | Commonwealth of Virginia Department of Behavi | Assisted Living Facility | 4601 Ironbound Rd, Williamsburg, VA 23188-2652 | 2006-09-25 |
| 1518064922 | Commonwealth of Virginia Department of Behavi | Hospitalist | 4601 Ironbound Rd, Williamsburg, VA 23188-2652 | 2006-09-20 |
| Street Address |
4601 IRONBOUND RD |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188-2652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861490344 | Eastern State Hospital | Pharmacy | 4601 Ironbound Rd, Pharmacy Box 8791, Williamsburg, VA 23188-2648 | 2005-07-08 |
| 1417578428 | Hannah Olson | Occupational Therapist | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2020-04-30 |
| 1366079113 | Hali Griswold | Psychologist | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2020-03-23 |
| 1851933147 | Gia Davila | Social Worker | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2019-10-08 |
| 1083263768 | Brittany Bak | Psychologist | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2019-09-05 |
| 1457913964 | Kojo Sarfo | Nurse Practitioner | 4601 Ironbound Rd, Williamsburg, VA 23188 | 2019-07-03 |
| 1982269841 | Carmen Kristina Ramos | Physical Therapy Assistant | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2019-05-07 |
| 1730744087 | Victoria Taylor-bowman | Occupational Therapy Assistant | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2019-05-02 |
| 1568959831 | William Menton | Student in an Organized Health Care Education/Training Program | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2018-04-22 |
| 1619474103 | Jeremy Matthew Schreiber | Student in an Organized Health Care Education/Training Program | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2018-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
| 1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
| 1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
| 1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
| 1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
| 1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
| 1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
| 1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
| Find all providers in zip 23188 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427326289 | Diamond Healthcare of Williamsburg Inc | Psychiatric Hospital | 5483 Mooretown Rd, Williamsburg, VA 23188-2108 | 2011-12-08 |
| 1093047797 | Eastern State Hospital | Psychiatric Hospital | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2010-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780044628 | Northspring Behavioral Healthcare Inc | Psychiatric Hospital | 42049 Victory Lane, Leesburg, VA 20176 | 2016-03-04 |
| 1710021803 | Piedmont Geriatric Hospital | Psychiatric Hospital | 5001 East Patrick Henry Highway, Burkeville, VA 23922-0427 | 2007-02-20 |
| 1124051701 | Hhc Poplar Springs LLC. | Psychiatric Hospital | 350 Poplar Dr, Petersburg, VA 23805-9367 | 2006-07-08 |
| 1326071093 | First Hospital Corporation of Virginia Beach | Psychiatric Hospital | 1100 First Colonial Rd, Virginia Beach, VA 23454-2403 | 2006-07-08 |
| 1003853185 | Virginia Psychiatric Company Inc | Psychiatric Hospital | 2960 Sleepy Hollow Rd, Falls Church, VA 22044-2030 | 2006-05-31 |
| 1912951369 | Commonwealth Center for Children and Adolescents | Psychiatric Hospital | 1355 Richmond Ave, Staunton, VA 24401-9146 | 2006-05-20 |
| 1740245117 | Jefferson Trail Treatment Center for Children | Psychiatric Hospital | 2101 Arlington Blvd, Charlottesville, VA 22903-1521 | 2006-04-19 |
| 1346205069 | Commonwealth of Virginia Western State Hospital | Psychiatric Hospital | 1301 Richmond Road, Staunton, VA 24401-9146 | 2006-04-18 |
| 1790785053 | Northern Virginia Mental Health Institute | Psychiatric Hospital | 3302 Gallows Rd, Falls Church, VA 22042-3353 | 2005-07-28 |
| 1427436997 | Harbor Point Behavioral Health Center Inc | Psychiatric Hospital | 860 Kempsville Rd, Norfolk, VA 23502-3920 | 2015-05-15 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
Please comment or provide details below to improve the information on COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVI.
| 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.