Cardinal Care Psychiatric Services

Primary specialty

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

Legal business name

CARDINAL CARE PSYCHIATRIC SERVICES

Practice address

3600 W Broad St Unit 536
Richmond, VA 23230-4948

Phone

(757) 653-4131

NPI assigned

Oct 27, 2020

Organization subpart

No

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

Authorized official

Name

Naomi Myrick, MSN,APRN,PMHNP-BCNPI 1700430733

Title

Nurse Practitioner

Phone

(757) 653-4131

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Naomi Myrick

  • Psychiatric/Mental Health Nurse Practitioner
  • Franklin, VA
  • NPI 1700430733
  Medicare reassignment NPD Authorized official
• Joshua Nelsen, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1629725015

  Single Specialty

  NPD

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1700486099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W BROAD ST UNIT 536",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304948",
            "telephone_number": "757-653-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W BROAD ST UNIT 536",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304948",
            "telephone_number": "757-653-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL CARE PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "MYRICK",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "757-653-4131",
        "authorized_official_credential": "MSN,APRN,PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700430733",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista Lareigna Cardenas, LMSW
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• Rebecca Eunhyun Cardile, OTR/L
• Cardinal Care Counseling
• Cardinal Compassionate Care LLC
• Cardio Lab Solutions
• Cardiology Associates of Richmond PC
• Cardiology of Virginia, Inc
• Cardiology of Virginia, Inc.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Richmond, VA
• Providers in Richmond, 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 Dec 7, 2020; 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.