Suffolk Psychiatric Group

LBN: Suffolk Psychiatric Group
Suffolk Psychiatric Group is an health care organization with primary practice located at 2470 Pruden Blvd , Suffolk VA 23434-4206. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Suffolk Psychiatric Group can be contacted via phone (757) 539-1503, or through Esmaili, Haydeh via phone (757) 539-1503.

Contact Information

Primary practice address
2470 Pruden Blvd Suffolk VA 23434-4206
Phone: (757) 539-1503
Fax: (757) 539-0107
Website:
Map and Directions
Authorized official contact:
Name: Esmaili, Haydeh
Phone: (757) 539-1503

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101039180 Virginia

Profile Details

NPI number 1265514954
LBN Legal business name Suffolk Psychiatric Group
DBA Doing business as Suffolk Psychiatric Group
Authorized official Esmaili, Haydeh
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Apr 28th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265514954 NPPES
Virginia MEDICAID 010413761

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