Provider Demographics
NPI:1437911898
Name:VIRTUE PSYCHIATRY, PLLC
Entity Type:Organization
Organization Name:VIRTUE PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBBONS
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:617-529-8170
Mailing Address - Street 1:4 HIGH ST STE 213
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-2679
Mailing Address - Country:US
Mailing Address - Phone:978-386-6189
Mailing Address - Fax:978-288-0126
Practice Address - Street 1:4 HIGH ST STE 213
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-2679
Practice Address - Country:US
Practice Address - Phone:978-386-6189
Practice Address - Fax:978-288-0126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty