PRESENCE PSYCHIATRIC SERVICES LLC NPI 1710656749

NPI Information

NPI: 1710656749
Provider Name: PRESENCE PSYCHIATRIC SERVICES, LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1010 EDNAM CTR STE 201
CHARLOTTESVILLE, VA
ZIP 22903
Phone: (434) 989-5656
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PRESENCE PSYCHIATRIC SERVICES, LLC is a psychiatric/mental health nurse practitioner in Charlottesville, VA. PRESENCE PSYCHIATRIC SERVICES, LLC NPI is 1710656749. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1010 EDNAM CTR STE 201
CHARLOTTESVILLE, VA
ZIP 22903-616
Phone: (434) 989-5656

The provider's authorized official is Danielle Petrosky Free .
The authorized official title is Owner, Psychiatric Clinician and has the following contact phone number (434) 989-5656.

The enumeration date for this NPI number is 9/13/2021 and was last updated on 9/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	No
2	163WC0400X	Registered Nurse	Case Management	No
3	163WG0000X	Registered Nurse	General Practice	No
4	163WN1003X	Registered Nurse	Nutrition Support	No
5	163WP0807X	Registered Nurse	Psychiatric/Mental Health, Child & Adolescent	No
6	163WP0808X	Registered Nurse	Psychiatric/Mental Health	No
7	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	No
8	171400000X	Health and Wellness Coach		No
9	171M00000X	Case Manager/Care Coordinator		No
10	174H00000X	Health Educator		No
11	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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