MEDICARE: COMMONWEALTH CENTER FOR CHILDREN AND ADOLESCENTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283Q00000X	Psychiatric Hospital	297-14-001	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0000000007824	OTHER	VA	ANTHEM BLUE CROSS-BLUE SH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912951369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMONWEALTH CENTER FOR CHILDREN AND ADOLESCENTS

Provider Business Mailing Address
First Line	:	1355 RICHMOND AVE
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401-9146
Country	:	US
Telephone Number	:	540-332-2100
Fax Number	:	540-332-2203

Provider Business Practice Location Address
First Line	:	1355 RICHMOND AVE
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401-9146
Country	:	US
Telephone Number	:	540-332-2100
Fax Number	:	540-332-2201

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MR. GEORGE NEWSOME
Credential	:	MHA
Telephone Number	:	540-332-2100

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	08/25/2025

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Directions to “COMMONWEALTH CENTER FOR CHILDREN AND ADOLESCENTS ” Practice Location

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