FAMILY PRESERVATION SERVICES NPI 1003009721

Community/Behavioral Health in Fredericksburg, VA

NPI 1003009721 Organization Community/Behavioral Health

About FAMILY PRESERVATION SERVICES

Family Preservation Services is a provider established in Fredericksburg, Virginia specializing in community/behavioral health. The NPI number of Family Preservation Services is 1003009721 and was assigned on August 2007. The practitioner's primary taxonomy code is 251S00000X with license number 15802029 (VA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Michael Fidgeon (Coo)

NPI

1003009721

Provider NameFAMILY PRESERVATION SERVICES
Provider Location Address3 LEARNING LN FREDERICKSBURG, VA 22401
Provider Mailing Address10304 SPOTSYLVANIA AVE 3RD FLOOR FREDERICKSBURG, VA 22408
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date08-27-2007
Last Update Date04-20-2008


Primary Taxonomy

Taxonomy Code251S00000X
ClassificationCommunity/Behavioral Health
TypeAgencies
License No.15802029
License StateVA
Taxonomy DescriptionA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.

Business Address

FAMILY PRESERVATION SERVICES
3 LEARNING LN
FREDERICKSBURG, VA
ZIP 22401
Phone: (540) 372-1438
Fax: (540) 372-7071

Get Directions


Mailing Address

FAMILY PRESERVATION SERVICES
10304 SPOTSYLVANIA AVE
3RD FLOOR
FREDERICKSBURG, VA
ZIP 22408
Phone: (540) 710-6085
Fax: (540) 710-6447



Authorized Official

Authorized Official Name MICHAEL FIDGEON
Authorized Official TitleCOO
Authorized Official Phone(540) 710-6085

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
=========MEDICAID (05)VA

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437500923 HELEN HATHAWAY
Individual
Speech-Language Pathologist3 LEARNING LN
FREDERICKSBURG, VA 22401
(540) 310-0029

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.