BON SECOURS VIRGINIA MEDICAL GROUP I, LLC


Address: 1510 N 28th St, Suite 101, Richmond, VA 23223-5311
Phone: 8043711670

BON SECOURS VIRGINIA MEDICAL GROUP I, LLC (NPI# 1457788358) 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) 1457788358
Entity Type Organization
Organization Name BON SECOURS VIRGINIA MEDICAL GROUP I, LLC
Other Organization Name BON SECOURS BEHAVIORAL HEALTH GROUP
Practice Address 1510 N 28th St
Suite 101
Richmond
VA 23223-5311
Practice Telephone 8043711670
Practice Fax Number 8043711671
Mailing Telephone 8043711670
Mailing Fax Number 8043711671
Enumeration Date 2013-10-09
Last Update Date 2013-10-09
Authorized Official Name GEORGE BUTLER (DIRECTOR CORPORATE RESPONSIBILITY)
Authorized Official Telephone 8042810271
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Bon Secours Behavioral Health Group Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1912334814 Bon Secours Virginia Medical Group I, LLC Psychologist 8220 Meadowbridge Rd # Mobi, Suite 308, Mechanicsville, VA 23116-2336 2013-10-09
1013344944 Bon Secours Virginia Medical Group I, LLC Internal Medicine 5855 Bremo Rd, Suite 102, Richmond, VA 23226-1930 2013-10-10
1568899409 Bon Secours Virginia Medical Group I, LLC Dermatology 5207 Hickory Park Dr, Suite A, Glen Allen, VA 23059-2624 2013-10-10
1821425760 Bon Secours Virginia Medical Group I, LLC Dentist 6900 Forest Ave, Suite 110, Richmond, VA 23230-1729 2013-10-10
1538596473 Bon Secours Virginia Medical Group I, LLC Psychologist 5855 Bremo Rd, Suite 404, Richmond, VA 23226-1930 2013-10-10
1356778294 Bon Secours Virginia Medical Group I, LLC Pediatrics 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 2013-10-10
1740617679 Bon Secours Virginia Medical Group I, LLC Pediatrics 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 2013-10-10
1013344951 Bon Secours Virginia Medical Group I, LLC Psychiatry & Neurology 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 2013-10-10
1730516675 Bon Secours Virginia Medical Group I, LLC Pediatrics 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 2013-10-10
1619304557 Bon Secours Virginia Medical Group I, LLC Pediatrics 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 2013-10-10

Office Location

Street Address 1510 N 28TH ST
SUITE 101
City RICHMOND
State VA
Zip Code 23223-5311

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336132216 James Edward Frazier II Pharmacist 1510 N 28th St, Suite 100, Richmond, VA 23223-5332 2005-08-26
1174909733 Renu Sadanandan Nurse Practitioner 1510 N 28th St, Suite 101, Richmond, VA 23223-5311 2015-08-06
1699176115 Ife I Torrence Nurse Practitioner 1510 N 28th St, Suite 308, Richmond, VA 23223-5311 2014-09-16
1851703300 Valerie South Nurse Practitioner 1510 N 28th St, Suite 305, Richmond, VA 23223-5311 2014-06-02
1730516634 Bon Secours Virginia Medical Group I, LLC Obstetrics & Gynecology 1510 N 28th St, Suite 305, Richmond, VA 23223-5311 2013-10-09
1780029538 Rebecca Elaine Sherard Social Worker 1510 N 28th St, Suite 101, Richmond, VA 23223-5311 2013-05-07
1144529207 Bon Secours Memorial Regional Medical Center Inc Psychiatry & Neurology 1510 N 28th St, Mob, Suite 101, Richmond, VA 23223-5311 2011-03-15
1912209149 Bon Secours Memorial Regional Medical Center Inc Obstetrics & Gynecology 1510 N 28th St, Suite 305, Richmond, VA 23223-5311 2010-11-19
1346569456 Stephen John Popovich Internal Medicine 1510 N 28th St, Suite 308, Richmond, VA 23223-5311 2010-05-28
1063673390 Bon Secours-virginia Healthsource, Inc. Internal Medicine 1510 N 28th St, Suite 204, Richmond, VA 23223 2008-06-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295291953 Hope Pharmacy, Inc. Pharmacy 1330 N. 25th Street, Richmond, VA 23223 2019-02-18
1063918019 Terri Ann Russell Social Worker Henrico County Public Schools, 3820 Nine Mile Rd., Henrico, VA 23223 2018-03-30
1871092171 Sharon H. Joyner Non-emergency Medical Transport (VAN) 3217 Arthurwood Pl, Richmond, VA 23223 2018-02-02
1497275309 Jennifer Lynn Dent Physical Therapist 10 S 20th Street, Unit U408, Richmond, VA 23223 2017-06-21
1568982551 Andrea Sledd Social Worker 200 N. 22nd Street, Richmond, VA 23223 2017-06-21
1528597903 Ashley Telisa Battle Physical Therapy Assistant 12100 Chancellors Village Lane, Fredericksburg, VI 23223 2017-06-08
1811436199 Dedric Lee Sr. Home Health Aide 527 N Laburnum Ave Apt 2, Richmond, VA 23223 2017-02-20
1619424181 Brighter Prospective Residential Services, LLC Transportation Broker 2509 Tonoka Road, Henrico, VA 23223 2016-09-01
1629425277 Spread Your Wings Non-emergency Medical Transport (VAN) 709 Hallwood Farms Dr., Richmond, VA 23223 2016-05-24
1396120010 Robert Reaves Griffin IIi Pharmacist 3601 Mechanicsville Turnpike, Richmond, VA 23223 2015-07-23
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548881352 Kevin Raymond Tarlow Psychologist 2000 Riverside Drive, Apt. 6c, Richmond, VA 23225 2020-05-04
1093251936 Erica Hurley Psychologist 681 Hioaks Rd Ste E, Richmond, VA 23225-4043 2017-01-17
1952728008 Sukhpinder Dhillon Psychologist 2120 Staples Mill Rd Ste 209, Richmond, VA 23230-2917 2014-03-26
1346679404 Mollie Lyddane Psychologist 2 Bayside Ct, Richmond, CA 94804-7441 2013-11-08
1649617051 Kathryn Rose Hefner Psychologist 2123 Rosewood Avenue, Richmond, VA 23220 2013-05-24
1639430093 Bon Secours-st. Mary's Hospital of Richmond, Inc. Psychologist 5855 Bremo Rd Ste 404, Mob North, Richmond, VA 23226-1924 2012-06-01
1316248297 Carolyn Etheridge Harrington Psychologist 5322 Stokes Ln, Richmond, VA 23226-1918 2010-11-09
1740502269 Lynda Ann Benson Fereday Psychologist 521 Lancaster Ave Rm 571, Richmond, KY 40475-3100 2010-02-25
1104067495 Arts for Replenishment and Change, Pllc Psychologist 530 E Main St Ste 420, Richmond, VA 23219-2431 2009-03-16
1255577573 Mark Stuart Pirie Psychologist 631 30th St, Richmond, CA 94804-1525 2008-12-17
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Competitor

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City RICHMOND
Zip Code 23223

Improve Information

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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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