Provider Demographics
NPI:1114568375
Name:BAY PSYCHIATRIC GROUP, INC
Entity Type:Organization
Organization Name:BAY PSYCHIATRIC GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:REGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-425-5010
Mailing Address - Street 1:923 FIRST COLONIAL RD STE 1821
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-3182
Mailing Address - Country:US
Mailing Address - Phone:757-478-2578
Mailing Address - Fax:757-425-5011
Practice Address - Street 1:923 FIRST COLONIAL RD STE 1821
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-3182
Practice Address - Country:US
Practice Address - Phone:757-478-2578
Practice Address - Fax:757-425-5011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-30
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty