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Blue Ridge Behavioral Health Associates

Nurse Practitioner, Psych/Mental Health in Purcellville, VA. Organization (NPI-2).

NPI number1063285484
StatusActive
Last updated in NPPESAug 31, 2026

Details

NPI
1063285484
Entity type
Organization (NPI-2)
Legal business name
Blue Ridge Behavioral Health Associates
Organization subpart
No
Enumeration date
Nov 7, 2023
Certification date
Aug 31, 2026
Last updated
Aug 31, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health––Yes

Practice location

17337 Pickwick Dr Ste D
Purcellville, VA 20132-6176

Phone 617-257-3139 · Fax 540-691-2252

Mailing address

17337 Pickwick Dr Ste D
Purcellville, VA 20132-6176

Phone 540-930-0674 · Fax 540-691-2252

Authorized official

Kathleen Youngman
Owner
6172573139

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychiatric/Mental Health Nurse Practitioner providers in Purcellville, VA

All 7 Psychiatric/Mental Health Nurse Practitioner providers in Purcellville · All 333 providers in Purcellville

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