NPIMap

Organization Active NPI

Virtual Psychiatry LLC

  • Psychiatric Residential Treatment Facility
  • Brockton, MA
National Provider Identifier
1114817004
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
VIRTUAL PSYCHIATRY LLC
Practice address
9 Pauline Street
Brockton, MA 02302
Phone
(774) 344-5914
Fax
(508) 213-3628
NPI assigned
Jul 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Mrs. Liudmila Cardoso, APRNNPI 1184207946
Title
Pmhnp
Phone
(774) 240-5585

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

9 Pauline Street
Brockton, MA 02302

Mailing address

9 Pauline St
Brockton, MA 02302-3800
Phone (774) 240-5585

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1114817004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PAULINE ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023800",
            "telephone_number": "774-240-5585",
            "fax_number": "508-213-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 PAULINE STREET",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02302",
            "telephone_number": "774-344-5914",
            "fax_number": "508-213-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUAL PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-06-14",
        "status": "A",
        "authorized_official_last_name": "CARDOSO",
        "authorized_official_first_name": "LIUDMILA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "774-240-5585",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.