INTERCEPT YOUTH SERVICES, INC (NPI# 1497198881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497198881 |
| Entity Type | Organization |
| Organization Name | INTERCEPT YOUTH SERVICES, INC |
| Practice Address |
5511 Staples Mill Rd Suite 102 Richmond VA 23228-5445 |
| Practice Telephone | 8048641320 |
| Practice Fax Number | 8044403711 |
| Mailing Telephone | 8048641320 |
| Mailing Fax Number | 8044403711 |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | DON KAMENCIK (CFO) |
| Authorized Official Telephone | 8048641320 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689287468 | Intercept Youth Services, Inc | Psychiatry & Neurology | 5511 Staples Mill Rd Ste 102, Richmond, VA 23228-5445 | 2020-08-31 |
| 1518448331 | Intercept Youth Services, Inc | Community/Behavioral Health | 5511 Staples Mill Rd Ste 102, Richmond, VA 23228-5445 | 2018-08-29 |
| 1730608217 | Intercept Youth Services, Inc | Psychiatry & Neurology | 5673 Airport Rd, Roanoke, VA 24012-1119 | 2017-09-15 |
| 1144560186 | Intercept Youth Services, Inc | Counselor | 5673 Airport Rd, Roanoke, VA 24012-1119 | 2013-02-28 |
| 1922254267 | Intercept Youth Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 10187 Brook Rd, Glen Allen, VA 23059-6508 | 2008-08-18 |
| Street Address |
5511 STAPLES MILL RD SUITE 102 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23228-5445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619078722 | Intercept Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5511 Staples Mill Rd, Suite 102, Richmond, VA 23228-5445 | 2006-09-25 |
| 1134777261 | James Kaleolani Pulido Terry | Social Worker | 5511 Staples Mill Rd, Richmond, VA 23228-5445 | 2019-09-02 |
| 1528579422 | Nicole Alexandra Piggott | Social Worker | 5511 Staples Mill Rd, Richmond, VA 23228-5445 | 2017-10-18 |
| 1558808329 | Intercept Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 5511 Staples Mill Rd, Suite 102, Richmond, VA 23228-5445 | 2017-01-31 |
| 1174067029 | Katharine Head | Social Worker | 5511 Staples Mill Rd, Suite 300, Richmond, VA 23228-5445 | 2016-12-12 |
| 1558804922 | Christy Damrath | Social Worker | 5511 Staples Mill Rd, 300, Richmond, VA 23228-5445 | 2016-12-02 |
| 1366985228 | Gideon Javna | Social Worker | 5511 Staples Mill Rd, Suite 300, Richmond, VA 23228-5445 | 2016-11-28 |
| 1043691413 | Alison Lynn Youmell | Social Worker | 5511 Staples Mill Rd, Suite 300, Richmond, VA 23228-5445 | 2015-06-11 |
| 1801287966 | Monica Renee Flanagan | Social Worker | 5511 Staples Mill Rd, Suite 102, Richmond, VA 23228-5445 | 2015-02-11 |
| 1245667062 | Zachary Mccormick Gibson | Counselor | 5511 Staples Mill Rd, Richmond, VA 23228-5445 | 2013-10-11 |
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|---|---|---|---|---|
| 1992356976 | Nimos Trans LLC | Non-emergency Medical Transport (VAN) | 5608 Tumbleweed Cr. Apt (h), Henrico, VA 23228 | 2019-09-21 |
| 1245890433 | Laura Mary Walton | Counselor | 5500 Staples Mill Road, Richmond, VA 23228 | 2019-06-19 |
| 1841859121 | Rachel S Ford | Behavior Technician | 1640 E. Parham Road, Richmond, VA 23228 | 2019-06-10 |
| 1932766631 | Nathan Ellis | Behavior Technician | 1640 East Parham Road, Richmond, VA 23228 | 2019-05-29 |
| 1922545268 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 4008 E Parham Rd., Henrico, VA 23228 | 2017-01-25 |
| 1205371663 | Simple Solutions Psychiatry | Community/Behavioral Health | 4321 Kanipe Ct, Richmond, VA 23228 | 2016-12-21 |
| 1417406224 | Dan A Kniffen Lcsw LLC | Counselor | 4100 East Parham Road, Suite B, Henrico, VA 23228 | 2016-09-22 |
| 1316334394 | Bobbi Southard | Specialist/Technologist | 8301 Hungary Spring Road, Richmond, VA 23228 | 2015-04-17 |
| 1265836050 | Crystal Mcfaddin | Nurse Practitioner | 4301 East Parham Road, Henrico, VA 23228 | 2014-10-22 |
| 1013352376 | Pooja Rao | Internal Medicine | 4100 New Hermitage Dr, Henrico, VA 23228 | 2013-04-30 |
| Find all providers in zip 23228 | ||||
| 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] |
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| 1306461546 | Golden Royaleagle Corp. | Community/Behavioral Health | 10814 Poolman Pl, Richmond, TX 77407-2817 | 2020-06-13 |
| 1942825286 | Advancing Communities Everywhere,llc | Community/Behavioral Health | 1108 E Main St Ste 1001, Richmond, VA 23219-3535 | 2020-06-12 |
| 1154957272 | Renewed Path Counseling Services LLC | Community/Behavioral Health | 602 Wood St Suite A, Richmond, LA 71282 | 2020-03-20 |
| 1306480223 | Insightbhi | Community/Behavioral Health | 9733 Cherokee Rd, Richmond, VA 23235-1330 | 2019-11-04 |
| 1013551134 | New Hope Wellness, LLC | Community/Behavioral Health | 11 S 12th St # 302, Richmond, VA 23219-4053 | 2019-10-31 |
| 1619527553 | Skye Empowerment Services | Community/Behavioral Health | 11518 Mossmorran Ln, Richmond, TX 77407-2185 | 2019-09-12 |
| 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.