Shaping Your Future Psychiatry

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SHAPING YOUR FUTURE PSYCHIATRY

Practice address

3082 Brickhouse CT Ste B
Virginia Beach, VA 23452-6859

Phone

(757) 528-2850

Fax

(757) 432-3159

NPI assigned

Aug 20, 2020

Organization subpart

No

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

Authorized official

Name

Trisha Nardia ParkerNPI 1528609187

Title

Ceo

Phone

(757) 528-2850

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trisha Nardia Parker, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Virginia Beach, VA
  • NPI 1528609187

  Single Specialty

  Medicare reassignment NPD Authorized official
• Candace Bynum Lankford, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Franklin, VA
  • NPI 1134751530
  Medicare reassignment NPD

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1679185573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 PORTSMOUTH BLVD UNIT 9183",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233210607",
            "telephone_number": "757-528-2850",
            "fax_number": "757-432-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3082 BRICKHOUSE CT STE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234526859",
            "telephone_number": "757-528-2850",
            "fax_number": "757-432-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPING YOUR FUTURE PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_middle_name": "NARDIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-528-2850"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Shank
• Edwin Cornilius Shannon
• Kayla Shannon, RBT
• Lindsey Shannon
• Lisa Marie Shapcott, M.D.
• Murali Dharan Sharath, MD, FACP
• Amayla Sharif
• Ravish Sharma
• Sharnese Home Care Collective, LLC
• Makayla Sharp, COTA/L

• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.