Virtual Psychiatry LLC
Psychiatric Residential Treatment Facility in Brockton, Massachusetts
1114817004- Practice location
- 9 Pauline Street, Brockton, MA 02302
- Phone
- 774-344-5914
- Fax
- 508-213-3628
- Last updated
- July 3, 2025
Virtual Psychiatry LLC is a healthcare organization based in Brockton, MA. Virtual Psychiatry LLC practices in Brockton, MA. The NPI Number for Virtual Psychiatry LLC is 1114817004. The current practice location address for Virtual Psychiatry LLC is 9 Pauline Street, Brockton, MA 02302 and can be reached out via phone at 774-344-5914 and via fax at 508-213-3628.
Provider Profile Details
- NPI Number
- 1114817004
- Provider Name
- Virtual Psychiatry LLC
- Provider Entity Type
- Organization
- Address
- 9 Pauline Street, Brockton, MA 02302
- Phone Number
- 774-344-5914
- Fax Number
- 508-213-3628
- Primary Taxonomy
- Psychiatric Residential Treatment Facility · 323P00000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Liudmila Cardoso, APRN · Pmhnp · 774-240-5585
- Provider Enumeration Date
- July 3, 2025
- Last Update Date
- July 3, 2025
- Certification Date
- June 14, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9 Pauline Street
Brockton, MA 02302 - City
- Brockton
- State
- Massachusetts
- Zip
- 02302
- Phone Number
- 774-344-5914
- Fax Number
- 508-213-3628
Provider Business Mailing Address Details
- Address
- 9 Pauline St
Brockton, MA 02302-3800 - City
- Brockton
- State
- MA
- Zip
- 02302-3800
- Phone Number
- 774-240-5585
- Fax Number
- 508-213-3628
License Information
- Taxonomy (1)
- Clinic/Center, Adult Mental Health · 261QM0850X
- Taxonomy (2)
- Psychiatric Residential Treatment Facility · 323P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Virtual Psychiatry LLC?
The NPI number of Virtual Psychiatry LLC is 1114817004. It was assigned on July 3, 2025 and is currently active in the NPPES registry.
What is the specialty of Virtual Psychiatry LLC?
Virtual Psychiatry LLC is registered under the primary taxonomy Psychiatric Residential Treatment Facility (code 323P00000X).
Where does Virtual Psychiatry LLC practice?
The practice location is 9 Pauline Street, Brockton, MA 02302. The office can be reached at 774-344-5914 (phone) or 508-213-3628 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114817004 directly on the NPPES registry website.