KEYSTONE NEWPORT NEWS, LLC (NPI# 1356360580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356360580 |
| Entity Type | Organization |
| Organization Name | KEYSTONE NEWPORT NEWS, LLC |
| Other Organization Name | NEWPORT NEWS BEHAVIORAL HEALTH CENTER |
| Practice Address |
17579 Warwick Blvd Newport News VA 23603-1343 |
| Mailing Address |
17579 Warwick Blvd Newport News VA 23603 |
| Practice Telephone | 7578880400 |
| Practice Fax Number | 7578880359 |
| Mailing Telephone | 7578880400 |
| Mailing Fax Number | 7578880359 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2018-08-15 |
| Authorized Official Name | STEVE FILTON (SR VP CFO) |
| Authorized Official Telephone | 6107683300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 323P00000X | Psychiatric Residential Treatment Facility | 84114001 | VA | Residential Treatment Facilities |
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 035597400 | 05 | |
| MD | 416531400 | 05 | |
| WV | 0505002000 | 05 | |
| VA | VA DEPT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES | 84114001 | 01 |
| VA | VA DEPT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES | 84114003 | 01 |
| Other Name | Type Code |
|---|---|
| Newport News Behavioral Health Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Keystone Newport News, LLC Dba Newport News Behavioral Health Center | 17579 Warwick Blvd, Newport News, VA 23603 |
| Street Address |
17579 WARWICK BLVD |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23603-1343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043283443 | John G Phocas IIi | Psychiatry & Neurology | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2006-02-08 |
| 1497384739 | Destiny Katherine Douglas | Counselor | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2020-04-08 |
| 1225657463 | Ashley Carroll Tuttle | Counselor | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2020-04-08 |
| 1184271132 | Damian Thomas Tucker | Counselor | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2019-08-23 |
| 1871158394 | Erin Marie Coppedge | Psychologist | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2019-05-09 |
| 1801450465 | Jessica Carol Walters Houston | Counselor | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2019-04-29 |
| 1487130712 | Stacy Cross | Counselor | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2018-07-19 |
| 1275030090 | Tierra Ward Ruffin | Counselor | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2018-04-09 |
| 1922519255 | Emily Ann Anderson | Counselor | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2017-10-13 |
| 1235650508 | Allison Michelle Vaughan | Counselor | 17579 Warwick Blvd, Newport News, VA 23603-1343 | 2017-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710488291 | Amanda Banner Brown | Speech-Language Pathologist | 17346 Warwick Blvd, Newport News, VA 23603 | 2018-02-21 |
| 1124278783 | Suzanne Marie Garber | Social Worker | 1949 Von Steuben Dr., Newport News, VA 23603-1052 | 2008-09-19 |
| 1124526439 | Monique Yvette Newsome | Social Worker | 522 Tudor Ct, Newport News, VA 23603-1139 | 2018-02-01 |
| 1215348081 | Nichole Scott | Physical Therapist | 200 Enterprise Dr, Newport News, VA 23603-1300 | 2014-05-15 |
| 1902306681 | Christine Eagan | Psychologist | 17346 Warwick Blvd, Newport News, VA 23603-1323 | 2018-02-19 |
| 1588625610 | Craig Leslie Knott | Physician Assistant | 116 Lake Pointe Dr, Newport News, VA 23603-1375 | 2006-03-29 |
| 1043838733 | Loving Hearts & Home Transportation LLC | Non-emergency Medical Transport (VAN) | 117 Republic Rd Apt L, Newport News, VA 23603-1463 | 2020-07-08 |
| 1306453949 | Annette Wanki | Registered Nurse | 1939 Mortar Loop Apt A, Newport News, VA 23603-1502 | 2020-09-28 |
| 1871148080 | Kelly Marie Sanchez | Counselor | 1944 Mortar Loop Apt A, Newport News, VA 23603-1507 | 2019-08-05 |
| 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 |
|---|---|---|---|---|
| 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 | NEWPORT NEWS |
| Zip Code | 23603 |
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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.