Active NPI
Psychiatric Care Center
- Geriatric Psychiatry Physician
- Yorktown, VA
National Provider Identifier
1902965882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 0101226872
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142821 | Other | VA | ANTHEM |
| 010086639 | Medicaid | VA | |
| O80759M | Other | VA | SENTARA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Williamsburg, VA
- NPI 1447557020
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.