Vitale Psychiatric

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

VITALE PSYCHIATRIC

Practice address

1403 Greenbrier Pkwy
Chesapeake, VA 23320-0614

Phone

(757) 436-2444

NPI assigned

Sep 2, 2022

Last updated

Sep 2, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shandra Tyus, PMHNP-BCNPI 1891296695

Title

Owner

Phone

(224) 627-4229

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Vitale Psychiatric Former legal business name
• Vitale Psychiatric LLC Former legal business name

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shandra Tyus

  • Family Nurse Practitioner
  • Chesapeake, VA
  • NPI 1891296695
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1053031559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 GREENBRIER PKWY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200614",
            "telephone_number": "757-436-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 GREENBRIER PKWY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200614",
            "telephone_number": "757-436-2444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3629 Kenny Ln",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237032612",
            "country_code": "US",
            "telephone_number": "757-606-1096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITALE PSYCHIATRIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "TYUS",
        "authorized_official_first_name": "SHANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-627-4229",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891296695",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "shayivery@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1403 Greenbrier Pkwy",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233200614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Vitale Psychiatric",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Vitale Psychiatric LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.