Fredericksburg Psychiatry PLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

FREDERICKSBURG PSYCHIATRY PLC

Practice address

1500 Dixon St
Suite 203
Fredericksburg, VA 22401-7231

Phone

(540) 310-4822

Fax

(540) 368-0618

NPI assigned

Oct 28, 2014

Last updated

Oct 28, 2014By 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

Frederick C Tucker Jr., M.D.

Title

President

Phone

(540) 310-4822

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1164827572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 DIXON ST",
            "address_2": "SUITE 203",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224017231",
            "telephone_number": "540-310-4822",
            "fax_number": "540-368-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DIXON ST",
            "address_2": "SUITE 203",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224017231",
            "telephone_number": "540-310-4822",
            "fax_number": "540-368-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICKSBURG PSYCHIATRY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-310-4822",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.