NPIMap

Organization Active NPI

Albemarle Dynamic Psychiatry LLC

  • Psychiatry Physician
  • Charlottesville, VA
National Provider Identifier
1093383259
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ALBEMARLE DYNAMIC PSYCHIATRY LLC
Practice address
325 Four Leaf LN Ste 12
Charlottesville, VA 22903-9203
Phone
(434) 466-1588
Fax
(866) 289-5249
NPI assigned
Jun 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Authorized official

Name
Benjamin Stephens, MDNPI 1568993582
Title
Owner
Phone
(434) 996-7605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

325 Four Leaf LN Ste 12
Charlottesville, VA 22903-9203

Mailing address

PO Box 28
Crozet, VA 22932-0028
Phone (434) 996-7605

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1093383259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229320028",
            "telephone_number": "434-996-7605",
            "fax_number": "866-289-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 FOUR LEAF LN STE 12",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229039203",
            "telephone_number": "434-466-1588",
            "fax_number": "866-289-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBEMARLE DYNAMIC PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-996-7605",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.