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EASTERN STATE HOSPITAL
NPI 1023118437
Assisted Living Facility - Assisted Living, Mental Illness in Williamsburg, VA

Active since September 25, 2006CLIA 49D0226607 · Accreditation
4601 IRONBOUND RD, WILLIAMSBURG, VA 23188(757) 253-5241(757) 253-5065 Get Directions Write a Review

NPPES record last updated: August 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eastern State Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERN STATE HOSPITAL (NPI 1023118437) is a healthcare organization registered as an assisted living, mental illness in Williamsburg, Virginia and active in the NPI registry since September 2006. The organization holds an CLIA Accreditation certificate valid through February 8, 2027 and lists J. Frank Gallagher, Hospital Director-ceo, as its authorized official.

NPPES Registry Identity

NPI1023118437
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameCOMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVI
Location Address4601 IRONBOUND RDWilliamsburg, VA 23188-2652
Mailing Address4601 Ironbound RdWilliamsburg, VA 23188-2652 · (757) 253-5241 · Fax (757) 253-5065
Phone(757) 253-5241
Fax(757) 253-5065
Organization SubpartYesParent: Commonwealth Of Virginia Department Of Behavioral Health An
Authorized OfficialJ. Frank GallagherHospital Director-ceo · (757) 253-5241
Enumeration DateSeptember 25, 2006
Last NPPES UpdateAugust 26, 2015
✔ NPI 1023118437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
4601 IRONBOUND RD, Williamsburg, VA 23188
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Other Names 1

Doing Business AsEastern State Hospital

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 49D0226607

Eastern State Hospital Laboratory · Williamsburg, VA
Active · expires Feb 8, 2027
CLIA Number49D0226607
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Catherine L. Palmer
Laboratory Phone(757) 208-7348
Laboratory LocationEastern State Hospital Laboratory4601 Ironbound Road Laboratory Bldg, Attn Charmaine Bell, Williamsburg, VA 23188
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LORABEL FEROLIN LAUREL CPHT
Pharmacist (Psychiatric)
4601 IRONBOUND RD, EASTERN STATE HOSPITAL
WILLIAMSBURG, VA 23188
James City County (757) 253-5327
JULIE ANDREWS
Nurse Practitioner (Psychiatric/Mental Health)
4601 IRONBOUND RD
WILLIAMSBURG, VA 23188
James City County (757) 253-5161
MRS. LAURA LYNN BURCHAM PHARMACY TECHNICIAN
Pharmacy Technician
4601 IRONBOUND RD, EASTERN STATE HOSPITAL
WILLIAMSBURG, VA 23188
James City County (757) 253-5327
DR. BRITTANY BAK PSY.D.
Psychologist (Forensic)
4601 IRONBOUND RD
WILLIAMSBURG, VA 23188
James City County (757) 208-7668
EASTERN STATE HOSPITAL
Psychiatric Hospital
4601 IRONBOUND RD
WILLIAMSBURG, VA 23188
James City County (757) 253-4309
SHINY KAITHAKUZHIYIL CHACKO
Registered Nurse (Psychiatric/Mental Health, Adult)
4601 IRONBOUND RD
WILLIAMSBURG, VA 23188
James City County (757) 253-5161
LAURA GROSSI PH.D.
Psychologist
4601 IRONBOUND RD
WILLIAMSBURG, VA 23188
James City County (757) 253-5161
COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVI
Intermediate Care Facility, Mental Illness
4601 IRONBOUND RD
WILLIAMSBURG, VA 23188
James City County (757) 253-5241

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Commonwealth Of Virginia Department Of Behavi's NPI number?

The NPI number for Commonwealth Of Virginia Department Of Behavi is 1023118437. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider is doing business as Eastern State Hospital.

Where is Commonwealth Of Virginia Department Of Behavi located?

Commonwealth Of Virginia Department Of Behavi is located at 4601 Ironbound Rd, Williamsburg, VA 23188. The listed phone number is (757) 253-5241.

What is Commonwealth Of Virginia Department Of Behavi's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Does Commonwealth Of Virginia Department Of Behavi hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 49D0226607) is associated with this NPI, valid through February 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Commonwealth Of Virginia Department Of Behavi was last updated on August 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.