Vitale Psychiatric Llc

LBN: Vitale Psychiatric Llc
Vitale Psychiatric Llc is an health care organization with primary practice located at 1403 Greenbrier Pkwy , Chesapeake VA 23320-0614. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Vitale Psychiatric Llc can be contacted via phone (757) 436-2444, or through Tyus, Shandra via phone (224) 627-4229.

Contact Information

Primary practice address
1403 Greenbrier Pkwy Chesapeake VA 23320-0614
Phone: (757) 436-2444
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tyus, Shandra PMHNP-BC
Phone: (224) 627-4229

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1053031559
LBN Legal business name Vitale Psychiatric Llc
DBA Doing business as
Authorized official Tyus, Shandra PMHNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2022
Last updated Sep 2nd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053031559 NPPES
Virginia MEDICAID 1891296695

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