Fresh Focus Psychiatric Services PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

FRESH FOCUS PSYCHIATRIC SERVICES PLLC

Practice address

825 Davis St Ste D
Blacksburg, VA 24060-7009

Phone

(304) 887-7284

NPI assigned

May 28, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Thomas, MD

Title

Doctor

Phone

(540) 306-4359

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1083237747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 DAVIS ST STE D",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607009",
            "telephone_number": "540-306-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 DAVIS ST STE D",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607009",
            "telephone_number": "304-887-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH FOCUS PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "540-306-4359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Frasca, MD
• Elliot Stephen Freed, D.O.
• Erika Freeman, LPC
• Jeremy Freeman, MD
• Ashleigh Stultz French
• Samuel Freytes-Rivera, DO
• Erno Fulop, D.M.D
• Andrea Bellamy Fulp, RDN
• Susan I Gaither, RNCNP
• Elizette Marie Galarza Carrasquillo

• Psychiatry Physician in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.