DR. REBECCA SMITH MCCRACKEN (NPI# 1366579609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366579609 |
Entity Type | Individual |
Full Name | DR. REBECCA SMITH MCCRACKEN |
Credential | LCP |
Practice Address |
4825 S Laburnum Ave Richmond VA 23231-2713 |
Mailing Address |
10299 Woodman Rd Glen Allen VA 23060-4419 |
Practice Telephone | 8042222607 |
Practice Fax Number | 8042369118 |
Mailing Telephone | 8047278500 |
Mailing Fax Number | 8047278580 |
Enumeration Date | 2007-02-27 |
Last Update Date | 2008-09-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810000204 | VA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | ANTHEM | 265680 | 01 |
VA | OPTIMA | O87144M | 01 |
VA | VIRGINIA PREMIER | 4945131 | 01 |
VA | MAMSI | 7123398 | 01 |
VA | MAMSI | 216379 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265627871 | Rebecca Lynn Mccracken | Advanced Practice Midwife | 258 High Ave, Nyack, NY 10960-2407 | 2007-09-07 |
1093825960 | Rebecca Cristine Mccracken | Physical Therapist | 900 N Swallowtail Dr, Suite 107, Port Orange, FL 32129-6102 | 2006-08-30 |
Street Address |
4825 S LABURNUM AVE |
City | RICHMOND |
State | VA |
Zip Code | 23231-2713 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568864189 | Mirjam Bryan | Physician Assistant | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2014-09-26 |
1467790618 | Lindsay A Snead | Social Worker | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2013-01-23 |
1699096057 | Shannon Coughlin Garrett | Nurse Practitioner | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2010-06-18 |
1750522371 | Anne Blair Caldwell | Social Worker | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2009-03-11 |
1528259181 | Alexia Jeanine Gerczak | Social Worker | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-08-07 |
1316155328 | Annamaria Zita Moldovan | Psychiatry & Neurology | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-05-21 |
1487786547 | Edward Gilmour Hayes | Social Worker | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-03-12 |
1114054467 | Michael W. Nielsen | Social Worker | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-02-27 |
1255475422 | Brenda Ingram Dandridge | Social Worker | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-02-19 |
1447394184 | Pamela June Gardner-davis | Registered Nurse | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-02-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114524766 | Latoya Steward | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 805 Admiral Gravely Blvd, Richmond, VA 23231 | 2020-10-07 |
1548721160 | Ray E Hill Jr. | Non-emergency Medical Transport (VAN) | 9469 Barrett Pl, Richmond, VA 23231 | 2019-03-27 |
1265922314 | Bon Secours - Richmond Community Hospital, Incorporated | Pediatrics | 4744 Finlay St, Richmond, VA 23231 | 2018-05-15 |
1225371743 | Vantage Point Community Supports, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8005 Diamond Ridge Court, Henrico, VA 23231 | 2013-04-03 |
1255586277 | Bon Secours - Richmond Community Hospital, Incorporated | Clinic/Center | 4630 S. Laburnum Ave., Suite C, Richmond, VA 23231 | 2008-11-18 |
1407050982 | Tawana Toneke Olds-davis | Counselor | 4305 Hillbrook Ave, Richmond, VA 23231 | 2007-06-11 |
1891814844 | East End Pediatrics, P.C. | Pediatrics | 4744 Finlay Street, Richmond, VA 23231 | 2007-03-29 |
1235229113 | Aunt Anns Home for Adolescents | Counselor | 5901 Almond Creek N Lane, Richmond, VA 23231 | 2006-10-13 |
1962500421 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5100 South Laburnum Ave Laburnum Sq, Richmond, VA 23231 | 2006-09-20 |
1043243546 | Bon Secours-virginia Healthsource | Family Medicine | 4835 S Laburnum Ave, Richmond, VA 23231 | 2006-07-08 |
Find all providers in zip 23231 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144796731 | A Step Forward Wellness Services LLC | Psychologist | 2002 Bremo Rd Ste 204, Richmond, VA 23226-2441 | 2018-10-22 |
1417435447 | Erin D. Kurtz | Psychologist | 1201 Broad Rock Blvd # 116b, Richmond, VA 23249-0001 | 2018-08-01 |
1649762873 | Caitlin Paige Campbell | Psychologist | 1201 Brock Road Blvd, Richmond, VA 23249-0001 | 2018-06-04 |
1689195141 | Kimberly Knight Hilton | Psychologist | 2401 Hartman St, Richmond, VA 23223-2458 | 2017-07-05 |
1720511504 | Marshall Psychological Services, LLC | Psychologist | 2800 N. Parham Road, Suite 107, Richmond, VA 23294 | 2017-04-07 |
1740732981 | Howard Lloyd | Psychologist | 907 Floyd Ave, Richmond, VA 23284-9026 | 2016-11-03 |
1679929061 | Elizabeth Meghan Archer Wheeler | Psychologist | 7400 Beaufort Springs Drive, Suite 300, Richmond, VA 23225-3039 | 2016-05-04 |
1730558909 | Jodi Suzanne Couick | Psychologist | 3000 Parker Rd, Richmond, CA 94806-2742 | 2015-09-17 |
1386024461 | Rosalie Corona | Psychologist | 4730 East Southside Plaza, Richmond, VA 23224 | 2015-06-04 |
1649677337 | Yuriy Ustinov | Psychologist | 3 Baker St, Richmond, ME 04357-1387 | 2014-11-25 |
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.