Provider Demographics
NPI:1396201349
Name:PSYCHIATRIC ASSOCIATES OF CENTRAL VIRGINIA, P.C
Entity Type:Organization
Organization Name:PSYCHIATRIC ASSOCIATES OF CENTRAL VIRGINIA, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, PSYCHIATRIC ASSOCIATES O
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTONY
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-301-5186
Mailing Address - Street 1:7427 BROOK ROAD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-1816
Mailing Address - Country:US
Mailing Address - Phone:804-301-5186
Mailing Address - Fax:804-673-6771
Practice Address - Street 1:7427 BROOK ROAD
Practice Address - Street 2:SUITE 102
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-1816
Practice Address - Country:US
Practice Address - Phone:804-301-5186
Practice Address - Fax:804-673-6771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Multi-Specialty
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Multi-Specialty