Lake Manassas Medical Psychiatry in Gainesville - Psychiatry
Lake Manassas Medical Psychiatry - NPI 1588722425
Lake Manassas Medical Psychiatry is a Psychiatry in Gainesville, Virginia. Lake Manassas Medical Psychiatry practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Lake Manassas Medical Psychiatry is 1588722425. The last update date is 2020-08-22.
Lake Manassas Medical Psychiatry's current location address is 7544 Gardner Park Dr, Gainesville, Virginia. You can contact this provider via phone number 7037727400 and fax number 7039409179. The mailing address for Lake Manassas Medical Psychiatry is 7544 Gardner Park Dr, Gainesville, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Manassas Medical Psychiatry |
|---|---|
| Address | 7544 Gardner Park Dr, Gainesville, Virginia |
| Phone Number | 7037727400 |
| Fax Number | 7039409179 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SOLE MEMBE |
|---|---|
| Authorized Official Name | Krause Charles Craig |
| Credentials | MD |
| Telephone Number | 7037727400 |
NPI Number Detail
| NPI Number | 1588722425 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 7544 Gardner Park Dr |
|---|---|
| City | Gainesville |
| State | Virginia (VA) |
| Post Code | 201553414 |
| Phone Number | 7037727400 |
| Fax Number | 7039409179 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 101233772 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique identification code assigned to Lake Manassas Medical Psychiatry by the Centers for Medicare & Medicaid Services?
The Lake Manassas Medical Psychiatry has been issued the NPI (National Provider Identifier) 1588722425. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lake Manassas Medical Psychiatry located?
The Lake Manassas Medical Psychiatry is located at 7544 Gardner Park Dr, Gainesville, VA 201553414.
What is Lake Manassas Medical Psychiatry's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lake Manassas Medical Psychiatry's area of specialization is Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588722425 to Lake Manassas Medical Psychiatry?
The Centers for Medicare & Medicaid Services originally issued the 1588722425 to Lake Manassas Medical Psychiatry on 2006-12-04.
When was the information regarding Lake Manassas Medical Psychiatry most recently updated?
The details pertaining to the Lake Manassas Medical Psychiatry, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.