Greenbrier Center for Behavioral Medicine P C

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101046136 Issued in VA

Legal business name

GREENBRIER CENTER FOR BEHAVIORAL MEDICINE P C

Practice address

3755 E Virginia Beach Blvd
Norfolk, VA 23502-3238

Phone

(757) 664-7699

NPI assigned

Apr 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Luis Faustino Ignacio, MDNPI 1710025333

Title

President & Ceo

Phone

(757) 547-1638

Specialties & licenses 1

Addresses

Practitioners 1

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

• Luis Faustino Ignacio, MD

  • Psychiatry Physician
  • Norfolk, VA
  • NPI 1710025333
  NPD (past) Authorized official

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881657773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 FAIRWAY DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233209400",
            "telephone_number": "757-547-1638",
            "fax_number": "757-549-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 E VIRGINIA BEACH BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023238",
            "telephone_number": "757-664-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRIER CENTER FOR BEHAVIORAL MEDICINE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IGNACIO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "FAUSTINO",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "757-547-1638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101046136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy W Green, MD
• Joram Josias Green
• Makena Nicole Green, MS, GC
• Stephanie Manuela Green, DPT
• Tanyatta Deanna Green, LCSW
• Alexandra Leigh Greene, CRNA
• Jana C Greene, PT, DPT
• Kaitlyn Greenier
• Destini Greer
• Steven P Greer, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.