OrganizationActive
Crater Child Development Clinic
NPI 1164468823 · Public Health or Welfare Agency · Petersburg, VA
Crater Child Development Clinic is a Public Health or Welfare Agency organization in Petersburg, VA (NPI 1164468823).
Provider details
- NPI number
- 1164468823
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Organization subpart
- No
- Authorized official
- Michael Royster, District Health Director(804) 863-1663
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2002 Wakefield Street
Petersburg, VA 23805-2112
Phone: (804) 862-6186
Fax: (804) 862-6276
Street-level locationGet directions
Mailing address
2002 Wakefield Ave
Petersburg, VA 23805-2112
Registry dates
- Enumerated
- 2006-06-21
- Last updated
- 2020-08-22
Frequently asked questions
- What is Crater Child Development Clinic's NPI number?
- Crater Child Development Clinic's National Provider Identifier (NPI) is 1164468823, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crater Child Development Clinic?
- Crater Child Development Clinic is classified in the NPPES registry as Public Health or Welfare Agency (Agencies).
- Where is Crater Child Development Clinic located?
- Crater Child Development Clinic's practice location on file with NPPES is 2002 Wakefield Street, Petersburg, VA 23805-2112.
- What is Crater Child Development Clinic's phone number?
- The practice phone number listed in the NPPES registry for Crater Child Development Clinic is (804) 862-6186.
- Who is the authorized official for Crater Child Development Clinic?
- The authorized official listed on Crater Child Development Clinic's NPPES record is Michael Royster, District Health Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crater Child Development Clinic's NPI active?
- Yes — Crater Child Development Clinic's NPI (1164468823) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.