{
"Npi": {
"NPI": "1306544747",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NEW START BEHAVIORAL HEALTH SERVICES OF VIRGINIA",
"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": "9702 GAYTON RD # 197",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RICHMOND",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "23238-4907",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "843-260-4920",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4565 MARSHALL RUN CIR APT 304",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GLEN ALLEN",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "23059-5878",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "843-260-4920",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/15/2023",
"LastUpdateDate": "02/15/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WRIGHT",
"AuthorizedOfficialFirstName": "KIVETTE",
"AuthorizedOfficialMiddleName": "R",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "843-260-4920",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}