Provider Type Icon

WALNUT AVENUE ASSOCIATES PC NPI 1861583791


NPI Information

NPI: 1861583791
Provider Name: WALNUT AVENUE ASSOCIATES PC
Classification: Psychiatry & Neurology - 2084P0802X
Entity Type: Organization

Specialization: Addiction Psychiatry

CLIA Number: 49D2009478

Address:
16 WALNUT AVE SW
ROANOKE, VA
ZIP 24016
Phone: (540) 345-6468
Get Directions

WALNUT AVENUE ASSOCIATES PC is an addiction psychiatry psychiatry neurology in Roanoke, VA. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. WALNUT AVENUE ASSOCIATES PC NPI is 1861583791. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16 WALNUT AVE SW
ROANOKE, VA
ZIP 24016-719
Phone: (540) 345-6468
Fax: (540) 345-3204

The provider's authorized official is Jitendra S Desai .
The authorized official title is Owner and has the following contact phone number (540) 345-6468.

The CLIA number assigned to this NPI record is 49D2009478 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0802XPsychiatry & NeurologyAddiction PsychiatryYes

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

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.