MID ATLANTIC LONG TERM SPECIALTY CARE LLC NPI 1851909998

NPI Information

NPI: 1851909998
Provider Name: MID ATLANTIC LONG TERM SPECIALTY CARE LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
6160 KEMPSVILLE CIR STE 325A
NORFOLK, VA
ZIP 23502
Phone: (757) 354-2885
Get Directions

MID ATLANTIC LONG TERM SPECIALTY CARE LLC is a psychiatric/mental health nurse practitioner in Norfolk, VA. MID ATLANTIC LONG TERM SPECIALTY CARE LLC NPI is 1851909998. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6160 KEMPSVILLE CIR STE 325A
NORFOLK, VA
ZIP 23502-933
Phone: (757) 354-2885
Fax: (757) 917-5141

The provider's authorized official is Nabil Tadros .
The authorized official title is Sole Member and has the following contact phone number (757) 354-2885.

The enumeration date for this NPI number is 7/15/2020 and was last updated on 7/15/2020.

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	103T00000X	Psychologist		No
2	207Q00000X	Family Medicine		No
3	207QG0300X	Family Medicine	Geriatric Medicine	No
4	207R00000X	Internal Medicine		No
5	207RG0300X	Internal Medicine	Geriatric Medicine	No
6	363A00000X	Physician Assistant		No
7	363L00000X	Nurse Practitioner		No
8	363LA2200X	Nurse Practitioner	Adult Health	No
9	363LG0600X	Nurse Practitioner	Gerontology	No
10	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »