Provider Demographics
NPI:1285671370
Name:VIRGINIA PSYCHIATRIC COMPANY, INC.
Entity Type:Organization
Organization Name:VIRGINIA PSYCHIATRIC COMPANY, INC.
Other - Org Name:DOMINION HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:LANDRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-289-4587
Mailing Address - Street 1:2960 SLEEPY HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2030
Mailing Address - Country:US
Mailing Address - Phone:703-536-2000
Mailing Address - Fax:703-533-9650
Practice Address - Street 1:2960 SLEEPY HOLLOW RD
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-2030
Practice Address - Country:US
Practice Address - Phone:703-536-2000
Practice Address - Fax:703-533-9650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0049433841Medicaid
VA004943384Medicaid
VA226613OtherWELLPOINT VA/BLUE CROSS