VALLEY GEROPSYCHIATRY LLC (NPI# 1720574569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720574569 |
| Entity Type | Organization |
| Organization Name | VALLEY GEROPSYCHIATRY LLC |
| Practice Address |
2123b Crystal Spring Ave Sw Roanoke VA 24014-2413 |
| Practice Telephone | 5402663136 |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-05 |
| Authorized Official Name | DAVID TRINKLE (OWNER) |
| Authorized Official Telephone | 5402661336 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
2123B CRYSTAL SPRING AVE SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-2413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487845863 | Asha Krishna | Psychiatry & Neurology | 2118 Rosalind Avenue, Carilion Clinic, Roanoke, VA 24014 | 2007-08-09 |
| 1598749632 | David Trinkle | Psychiatry & Neurology | 2001 Crystal Spring Ave Sw, Suite 302, Roanoke, VA 24014-2462 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275861817 | Rebecca Harding Ingram | Psychiatry & Neurology | 316 Maple Tree Ln, Spring Grove, VA 23881-8515 | 2009-11-19 |
| 1245358803 | Giovanna Morena M.d, P.C. | Psychiatry & Neurology | 20749 Rainsboro Dr, Ashburn, VA 20147-2835 | 2007-03-26 |
| 1902965882 | Psychiatric Care Center | Psychiatry & Neurology | 300 Glebe Spring Ln, Yorktown, VA 23693-3125 | 2006-12-07 |
| 1831163583 | Ramesh D Chaudry | Psychiatry & Neurology | Pgh, 5001 E. Patrick Henry Hwy., Burkeville, VA 23922 | 2006-02-16 |
| 1083616593 | James S Brown | Psychiatry & Neurology | 214 Bush River Drive, Farmville, VA 23901-0248 | 2005-08-15 |
| 1972841450 | Brighter Day Health LLC | Psychiatry & Neurology | 250 Pantops Mountain Rd, #5107, Charlottesville, VA 22911-8686 | 2013-01-17 |
| 1841466075 | Robert B J Nathan | Psychiatry & Neurology | 500 Ray C Hunt Drive, Charlottesville, VA 22903 | 2008-05-07 |
| 1881893071 | Mamta Sapra | Psychiatry & Neurology | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2007-07-17 |
| 1275655607 | David A Sayles Md, Pllc | Psychiatry & Neurology | 1707 Osage St, Suite 404, Alexandria, VA 22302-2607 | 2007-04-05 |
| 1518091453 | Dean J Storer Md PC | Psychiatry & Neurology | 1707 Osage St, Suite 404, Alexandria, VA 22302-2607 | 2007-03-15 |
| Find all providers with the same taxonomy | ||||
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| 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.