FAMILY PRESERVATION SERVICES, INC (NPI# 1376629618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376629618 |
Entity Type | Organization |
Organization Name | FAMILY PRESERVATION SERVICES, INC |
Practice Address |
10301 Democracy Ln Suite 275 Fairfax VA 22030-2545 |
Mailing Address |
10304 Spotsylvania Ave Suite 300 Fredericksburg VA 22408-8602 |
Practice Telephone | 7036917373 |
Practice Fax Number | 7036917378 |
Mailing Telephone | 5407106085 |
Mailing Fax Number | 5407106419 |
Enumeration Date | 2006-10-30 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MICHAEL FIDGEON (CEO) |
Authorized Official Telephone | 5407106085 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 15805001 | VA | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 0004946171 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124518105 | Family Preservation Services, Inc | Community/Behavioral Health | 3710 Churchville Ave, Churchville, VA 24421-2500 | 2018-05-15 |
1689186090 | Family Preservation Services, Inc | Community/Behavioral Health | 6328 Merriman Rd, Roanoke, VA 24018-6624 | 2017-10-26 |
1679083596 | Family Preservation Services, Inc | Community/Behavioral Health | 311 S Bridge St, Bedford, VA 24523-2705 | 2017-10-05 |
1881104701 | Family Preservation Services, Inc | Community/Behavioral Health | 63 State Route 9030, Stuarts Draft, VA 24477 | 2017-10-05 |
1427568344 | Family Preservation Services, Inc | Community/Behavioral Health | 184 Fort Defiance Rd, Fort Defiance, VA 24437-2001 | 2017-10-05 |
1154854248 | Family Preservation Services, Inc | Community/Behavioral Health | 5338 Esserville Road, Norton, VA 24273 | 2017-04-06 |
1386185361 | Family Preservation Services, Inc | Community/Behavioral Health | 122 Municipal Ave, Gate City, VA 24251-2738 | 2017-03-10 |
1255870093 | Family Preservation Services, Inc | Community/Behavioral Health | 12400 E Lynchburg Salem Turnpike, Forest, VA 24551 | 2017-02-13 |
1326598293 | Family Preservation Services, Inc | Community/Behavioral Health | 432 Church St, Millboro, VA 24460-2132 | 2016-10-04 |
1659828820 | Family Preservation Services, Inc | Community/Behavioral Health | 1 High School Circle, South Boston, VA 24592 | 2016-09-06 |
Entity Type | Entity Name | Entity Address |
---|---|---|
North Carolina Corporation | Family Preservation Services, Inc. | P O Box 12925 , Tucson, AZ 85732 |
Virginia Business Entity | Family Preservation Services, Inc. | 10304 SPOTSYLVANIA AVENUE SUITE 300, FREDERICKSBURG, VA 22408 |
Street Address |
10301 DEMOCRACY LN SUITE 275 |
City | FAIRFAX |
State | VA |
Zip Code | 22030-2545 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043211360 | Gregory S Sibley | Specialist | 10301 Democracy Ln, Fairfax, VA 22030-2545 | 2005-08-09 |
1366685240 | Marla Robin Gebaide | Chiropractor | 10301 Democracy Ln, Suite 110, Fairfax, VA 22030-2545 | 2009-04-08 |
1033351754 | Family Preservation Services, Inc | Community/Behavioral Health | 10301 Democracy Ln, Suite 275, Fairfax, VA 22030-2545 | 2009-03-26 |
1073797460 | Harold Agbahiwe | Radiology | 10301 Democracy Ln, Fairfax, VA 22030-2545 | 2007-12-21 |
1730212747 | Anu Gupta Md PC | Clinic/Center | 10301 Democracy Ln, Fairfax, VA 22030-2545 | 2007-03-13 |
1689769861 | Northern Virginia Urology, Pllc | Specialist | 10301 Democracy Ln, Suite 410, Fairfax, VA 22030-2545 | 2006-10-04 |
1689604381 | Net Global Medical Services Inc | Durable Medical Equipment & Medical Supplies | 10301 Democracy Ln, Suite 100, Fairfax, VA 22030-2545 | 2006-07-05 |
1285612283 | Fairfax Rehabilitation, Incorporated | Clinic/Center | 10301 Democracy Ln, Suite 100, Fairfax, VA 22030-2545 | 2006-01-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
Find all providers in zip 22030 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821644840 | Simply Mindful Solutions | Community/Behavioral Health | 10650 Main St Ste 101a, Fairfax, VA 22030-3814 | 2019-08-15 |
1265946750 | Serene Solutions Counseling & Consulting Services, LLC | Community/Behavioral Health | 10621 Jones Street, 201b, Fairfax, VA 22030 | 2017-11-20 |
1982146262 | Healing Hearts Va, LLC | Community/Behavioral Health | 4000 Legato Rd Ste 1100, Fairfax, VA 22033-2893 | 2016-11-17 |
1003275660 | Integrative Psychotherapy Institute | Community/Behavioral Health | 3615 Chain Bridge Rd Ste I, Fairfax, VA 22030-3237 | 2016-02-11 |
1831569896 | Northern Virginia Older Adult Counseling | Community/Behavioral Health | 4700 Banting Ct, Fairfax, VA 22032-2451 | 2015-10-03 |
1366810392 | Bellwether Behavioral of Virginia, LLC | Community/Behavioral Health | 9932 Main St, Fairfax, VA 22031-3901 | 2015-09-08 |
1376933028 | Virginia Clinical Therapy Center | Community/Behavioral Health | 10805 Main St Ste 800, Fairfax, VA 22030-4729 | 2015-02-03 |
1508149907 | A.c.e Psychological Services | Community/Behavioral Health | 11198 Lee Hwy Ste D2, Fairfax, VA 22030-5009 | 2011-09-21 |
1689756140 | Pathway Homes, Inc. | Community/Behavioral Health | 8411 Arlington Blvd Ste 340, Fairfax, VA 22031-4601 | 2006-10-20 |
1164061727 | Balanced Life Counseling LLC | Community/Behavioral Health | 3919 Old Lee Hwy Ste 82c, Fairfax, VA 22030-2430 | 2019-12-31 |
Find all providers in FAIRFAX |
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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.