NPI Code Detail JSON Logo

1063249670 NPI number — ANGER MANAGEMENT HAMPTON ROADS LLC

NPI Number: 1063249670
Health Care Provider/Practitioner: ANGER MANAGEMENT HAMPTON ROADS LLC

Information about “1063249670” NPI (ANGER MANAGEMENT HAMPTON ROADS LLC) exists in 1063249670 in HTML format HTML  |  1063249670 in plain Text format TXT  |  1063249670 in PDF (Portable Document Format) PDF  |  1063249670 in an XML format XML  formats.

NPI Number : 1063249670 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063249670",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ANGER MANAGEMENT HAMPTON ROADS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4224 QUAILSHIRE CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHESAPEAKE",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23321-3197",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "757-589-0293",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "517 KEMPSVILLE RD STE F",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHESAPEAKE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23320-3643",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "757-589-0293",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/17/2024",
    "LastUpdateDate": "09/17/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JOHNSON",
    "AuthorizedOfficialFirstName": "JAMES",
    "AuthorizedOfficialMiddleName": "ALLEN",
    "AuthorizedOfficialTitle": "PARTNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": "JR.",
    "AuthorizedOfficialCredential": "ED.S, MDIV, LMFT",
    "AuthorizedOfficialTelephoneNumber": "757-589-0293",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TC1900X",
        "TaxonomyName": "Counseling Psychologist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.