Organization Active NPI

Psychiatric Care Center

  • Geriatric Psychiatry Physician
  • Yorktown, VA
National Provider Identifier
1902965882
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
0101226872 Issued in VA
Legal business name
PSYCHIATRIC CARE CENTER
Practice address
300 Glebe Spring LN
Yorktown, VA 23693-3125
Phone
(757) 643-8989
NPI assigned
Dec 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Authorized official

Name
Dr. Parthiv J Sheth, M.D.
Title
Medical Director
Phone
(757) 643-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0805X 0101226872 VA Primary

Addresses

Primary practice location

300 Glebe Spring LN
Yorktown, VA 23693-3125

Mailing address

300 Glebe Spring LN
Yorktown, VA 23693-3125
Phone (757) 643-8989

Other identifiers 3

IdentifierTypeStateIssuer
142821OtherVAANTHEM
010086639MedicaidVA
O80759MOtherVASENTARA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1902965882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GLEBE SPRING LN",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236933125",
            "telephone_number": "757-643-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GLEBE SPRING LN",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236933125",
            "telephone_number": "757-643-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "PARTHIV",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "757-643-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "VA",
            "license": "0101226872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "142821",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010086639",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "O80759M",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.