Active NPI
Whidbey Island Public Hospital District
- Psychiatry Physician
- Haymarket, VA
National Provider Identifier
1447799598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT
- Practice address
- 16003 Greymill Manor Dr
Haymarket, VA 20169-4961 - Phone
- (360) 678-5151
- Fax
- (360) 678-7676
- NPI assigned
- Feb 21, 2017
- Organization subpart
- Yes
- Parent organization
- WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald L Telles
- Title
- Ceo
- Phone
- (360) 678-7676
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
16003 Greymill Manor Dr
Haymarket, VA 20169-4961
Mailing address
PO Box 3603
Seattle, WA 98124-3603
Phone (360) 914-3110
Other practice location 1
2105 Liesfeld Pkwy
Glen Allen, VA 23060-5866
Phone (360) 678-5151
Other names 1
- WhidbeyHealth Telehealth
National Provider Directory
National Provider Directory- Part of
- North Whidbey Comm Clin
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Psychiatry Physician
- Arlington, VA
- NPI 1538770623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618444800000",
"number": "1447799598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3603",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981243603",
"telephone_number": "360-914-3110",
"fax_number": "360-678-3858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16003 GREYMILL MANOR DR",
"city": "HAYMARKET",
"state": "VA",
"postal_code": "201694961",
"telephone_number": "360-678-5151",
"fax_number": "360-678-7676"
}
],
"practiceLocations": [
{
"address_1": "2105 Liesfeld Pkwy",
"address_purpose": "LOCATION",
"city": "Glen Allen",
"state": "VA",
"postal_code": "230605866",
"country_code": "US",
"telephone_number": "360-678-5151",
"fax_number": "360-678-7676",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT",
"enumeration_date": "2017-02-21",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A",
"authorized_official_last_name": "TELLES",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "360-678-7676"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WhidbeyHealth Telehealth",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "WhidbeyHealth Telehealth",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Haymarket, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.