Organization Active NPI

East Coast Telepsychiatry Inc

Doing business as East Coast Family Medicine

  • Psychiatric/Mental Health Nurse Practitioner
  • Callao, VA
National Provider Identifier
1750044426
Registry record updated Oct 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
EAST COAST TELEPSYCHIATRY INC
Doing business as
East Coast Family Medicine
Practice address
268 Northumberland Hwy
Callao, VA 22435-2222
Phone
(804) 246-4942
Fax
(843) 299-2474
NPI assigned
Oct 19, 2021
Last updated
Oct 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2026

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

Authorized official

Name
Amy R. Pharr, APRNNPI 1275537037
Title
Director, NP
Phone
(804) 246-4942

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

268 Northumberland Hwy
Callao, VA 22435-2222

Mailing address

861 Lake Rd
Lottsburg, VA 22511-2667
Phone (804) 246-4942

Other practice location 1

527 Lagrande Dr
Murrells Inlet, SC 29576-8170
Phone (843) 299-2033 ext. 1

Other practice location 2

12106 Lakeview Dr
Leesburg, FL 34788-2983
Phone (843) 299-2033 ext. 1

Other practice location 3

2052 Hermany Ave
Bronx, NY 10473-2036
Phone (804) 246-4942

Other practice location 4

861 Lake Rd
Lottsburg, VA 22511-2667
Phone (804) 246-4942

Other names 1

  • East Coast Family Medicine Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dang@eastcoasttelepsychiatry.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2283021East Coast Family Medicine268 Northumberland Hwy, Callao, VA 22435Provider-performed microscopyMay 30, 2027

National Provider Directory

National Provider Directory

Locations

654 Bellamy Ave
Unit 1047
Murrells Inlet, SC 29576

268 Northumberland Hwy
Callao, VA 22435
Phone (804) 246-4942

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791072000000",
    "number": "1750044426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 LAKE RD",
            "city": "LOTTSBURG",
            "state": "VA",
            "postal_code": "225112667",
            "telephone_number": "804-246-4942",
            "fax_number": "843-299-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 NORTHUMBERLAND HWY",
            "city": "CALLAO",
            "state": "VA",
            "postal_code": "224352222",
            "telephone_number": "804-246-4942",
            "fax_number": "843-299-2474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 Lagrande Dr",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295768170",
            "country_code": "US",
            "telephone_number": "843-299-2033 x1",
            "fax_number": "843-299-2474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12106 Lakeview Dr",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347882983",
            "country_code": "US",
            "telephone_number": "843-299-2033 x1",
            "fax_number": "843-299-2474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2052 Hermany Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104732036",
            "country_code": "US",
            "telephone_number": "804-246-4942",
            "fax_number": "843-299-2474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "861 Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Lottsburg",
            "state": "VA",
            "postal_code": "225112667",
            "country_code": "US",
            "telephone_number": "804-246-4942",
            "fax_number": "843-299-2474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAST COAST TELEPSYCHIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2026-10-04",
        "certification_date": "2026-10-04",
        "status": "A",
        "authorized_official_last_name": "PHARR",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DIRECTOR, NP",
        "authorized_official_telephone_number": "804-246-4942",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dang@eastcoasttelepsychiatry.com",
            "affiliation": "N",
            "endpointDescription": "Administration email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "861 Lake Rd",
            "city": "Lottsburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "225112667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "East Coast Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Callao, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.