Organization Active NPI

VA Institute of Neuropsychiatry, Inc.

  • Psychiatry Physician
  • Midlothian, VA
National Provider Identifier
1124062468
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
VA INSTITUTE OF NEUROPSYCHIATRY, INC.
Practice address
2621 Promenade Pkwy
Midlothian, VA 23113-1431
Phone
(804) 594-7046
Fax
(804) 594-2635
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David E Ross, M.D.NPI 1942237060
Title
Director
Phone
(804) 594-7046

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: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2621 Promenade Pkwy
Midlothian, VA 23113-1431

Mailing address

2621 Promenade Pkwy
Midlothian, VA 23113-1431
Phone (804) 594-7046

Other identifiers 1

IdentifierTypeStateIssuer
173345OtherVAANTHEM BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

2621 Promenade Pkwy
Ste 104
Midlothian, VA 23113
Phone (304) 594-7046

Practitioners & affiliated clinicians

Practitioners 3

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": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124062468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 PROMENADE PKWY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231131431",
            "telephone_number": "804-594-7046",
            "fax_number": "804-594-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 PROMENADE PKWY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231131431",
            "telephone_number": "804-594-7046",
            "fax_number": "804-594-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA INSTITUTE OF NEUROPSYCHIATRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-594-7046",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "173345",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.