| Virtual Psychiatry Llc | |
|
9 Pauline Street Brockton MA 02302 | |
| (774) 344-5914 | |
| (508) 213-3628 |
| Full Name | Virtual Psychiatry Llc |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 9 Pauline Street, Brockton, Massachusetts |
| Authorized Official Name and Position | Liudmila Cardoso (PMHNP) |
| Authorized Official Contact | 7742405585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virtual Psychiatry Llc 9 Pauline St Brockton MA 02302-3800 Ph: (774) 240-5585 | Virtual Psychiatry Llc 9 Pauline Street Brockton MA 02302 Ph: (774) 344-5914 |
| NPI Number | 1114817004 |
|---|---|
| Provider Enumeration Date | 07/03/2025 |
| Last Update Date | 07/03/2025 |
| Certification Date | 06/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114817004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 323P00000X | Psychiatric Residential Treatment Facility | (* (Not Available)) | Primary |
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