MR. THOMAS MARK MAMALAKIS PMHNP NPI 1346810173

NPI Information

MR. Thomas Mark Mamalakis, PMHNP is a psychiatric/mental health nurse practitioner in Richmond, VA with 3 years of experience. MR. Thomas Mark Mamalakis, PMHNP NPI is 1346810173. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year:2021

The provider's business location address is:

2305 N PARHAM RD STE 3
RICHMOND, VA
ZIP 23229-156
Phone: (804) 270-1124

The NPI 1346810173 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/24/2021 and was last updated on 6/24/2021.

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:

Other Identifiers

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

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