PSYCHIATRIC ALLIANCE OF THE BLUE RIDGE (NPI# 1528124575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528124575 |
| Entity Type | Organization |
| Organization Name | PSYCHIATRIC ALLIANCE OF THE BLUE RIDGE |
| Other Organization Name | PABR INC |
| Practice Address |
2496 Old Ivy Road Suite 400 1st Floor Charlottesville VA 22903-4895 |
| Practice Telephone | 4349846777 |
| Practice Fax Number | 4342961412 |
| Mailing Telephone | 4349846777 |
| Mailing Fax Number | 4342961412 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN P D SHEMO (PRESIDENT MEDICAL DOCTOR) |
| Authorized Official Telephone | 4349846777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PABR Inc | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | PSYCHIATRIC ALLIANCE OF THE BLUE RIDGE INC. | 1228 Cedars Ct Ste 103, Charlottesville, Virginia 22903-4801 |
| Street Address |
2496 OLD IVY ROAD SUITE 400 1ST FLOOR |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-4895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194754739 | John Palmer David Shemo | Psychiatry & Neurology | 2496 Old Ivy Road, Suite 400 Psychiatric Alliance of The Blue Ridge, Charlottesville, VA 22903-4895 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861810491 | Jordan H. Rosen | Psychiatry & Neurology | 1215 Lee Street, Barringer Wing Fl 3, Charlottesville, VA 22903-3363 | 2014-04-01 |
| 1801230974 | Kalia Ariana Ward | Psychiatry & Neurology | 637 Berkmar Circle, Charlottesville, VA 22901-1464 | 2013-04-19 |
| 1669716254 | Michael Lawrence Shepherd | Psychiatry & Neurology | 415 East Market St, Executive Suites Room 25, Charlottesville, VA 22902-5264 | 2012-11-20 |
| 1285958819 | Andrew J Chambers | Psychiatry & Neurology | 630 Peter Jefferson Pkwy Ste 130, Charlottesville, VA 22911-4624 | 2010-03-25 |
| 1558573501 | Mary Catherine Wimer | Psychiatry & Neurology | 1 Boars Head Ln, Charlottesville, VA 22903-4610 | 2007-05-03 |
| 1558480665 | Patricia J Grogan | Psychiatry & Neurology | 460 Peacock Dr, Charlottesville, VA 22903 | 2007-03-28 |
| 1912063884 | Daniel H Josephthal | Psychiatry & Neurology | 503 Faulconer Dr, #5a, Charlottesville, VA 22903 | 2006-12-28 |
| 1457425720 | Stephen Jacobs Mcnamara | Psychiatry & Neurology | 300 Preston Avenue, Suite 214, Charlottesville, VA 22902 | 2006-11-20 |
| 1104913797 | Charles D. Moseley IIi | Psychiatry & Neurology | 400 W High St, Charlottesville, VA 22902-4661 | 2006-10-06 |
| 1396757530 | Eugenia Ann Cornell | Psychiatry & Neurology | 918 9 1/2 St Ne, Charlottesville, VA 22902-5311 | 2006-08-13 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
Please comment or provide details below to improve the information on PSYCHIATRIC ALLIANCE OF THE BLUE RIDGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.