CENTRA HEALTH PROFESSIONAL SERVICES LLC NPI 1235480351

NPI Information

  • NPI: 1235480351
  • Provider Name: CENTRA HEALTH PROFESSIONAL SERVICES, LLC
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Organization
  • Doing Business As: CHILD/ADOLESCENT PSYCH PROGRAM
  • Address: 3300 RIVERMONT AVE
    LYNCHBURG, VA
    ZIP 24503
  • Phone: (434) 200-5999

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NPI Details

CENTRA HEALTH PROFESSIONAL SERVICES, LLC is a child and adolescent psychiatry psychiatry neurology in Lynchburg, VA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. CENTRA HEALTH PROFESSIONAL SERVICES, LLC NPI is 1235480351. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Child/adolescent Psych Program.

The provider's business location address is:

3300 RIVERMONT AVE
LYNCHBURG, VA
ZIP 24503-030
Phone: (434) 200-5999

The provider's authorized official is Lewis Addison .
The authorized official title is Cfo and has the following contact phone number (434) 200-3656.

The enumeration date for this NPI number is 9/28/2012 and was last updated on 9/28/2012.

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 License Number License State Primary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C09704MEDICARE PIN
2DE2814MEDICARE PIN

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: 3/30/2025

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