Provider Demographics
NPI:1336834100
Name:AMERICAN PSYCHIATRIC CARE
Entity Type:Organization
Organization Name:AMERICAN PSYCHIATRIC CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAVIKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:BHALAVAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-670-3076
Mailing Address - Street 1:14631 LEE HWY STE 110
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-5825
Mailing Address - Country:US
Mailing Address - Phone:571-655-2267
Mailing Address - Fax:
Practice Address - Street 1:5009 HONEYGO CENTER DR STE 200
Practice Address - Street 2:
Practice Address - City:PERRY HALL
Practice Address - State:MD
Practice Address - Zip Code:21128-9842
Practice Address - Country:US
Practice Address - Phone:410-670-3076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN PSYCHIATRIC CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-07
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty