Unknown Individual – Child & Adolescent Psychiatry Physician, NPI 1699734517
Child & Adolescent Psychiatry Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
269, Medical Park Boulevard, Pinehill Plaza, Lakewood, Petersburg, Virginia, 23805, United States
PETERSBURG, VA 238059337
Phone: (804) 861-0700
Fax: (804) 863-4626
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | VA | |
| Nurse Practitioner | VA | |
| Clinical Social Worker | VA | |
| P S Y C H I A T R Y | VA | |
| P S Y C H I A T R Y | VA | |
| Nurse Practitioner | VA | |
| P S Y C H I A T R Y | VA | |
| Nurse Practitioner | VA | |
| P S Y C H I A T R Y | MO | |
| Clinical Social Worker | VA |
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