Yongbing L Pu MD PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101253996 Issued in VA

Legal business name

YONGBING L PU MD PLLC

Doing business as

Southside Psychiatry Clinic

Practice address

317 Office Square LN Ste B102
Virginia Beach, VA 23462

Phone

(757) 469-6003

NPI assigned

Sep 2, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Yongbing L Pu, M.D.

Title

President

Phone

(757) 469-6003

Specialties & licenses 1

Addresses

Other names 1

• Southside Psychiatry Clinic Doing business as

Locations

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1528515996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 OFFICE SQUARE LN STE B102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623650",
            "telephone_number": "757-469-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 OFFICE SQUARE LN STE B102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23462",
            "telephone_number": "757-469-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 Office Square Ln Ste A201",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234623652",
            "country_code": "US",
            "telephone_number": "757-469-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YONGBING L PU MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "PU",
        "authorized_official_first_name": "YONGBING",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-469-6003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101253996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southside Psychiatry Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southside Psychiatry Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.