INDEPENDENCE PSYCHIATRIC SERVICES (NPI# 1649687054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649687054 |
| Entity Type | Organization |
| Organization Name | INDEPENDENCE PSYCHIATRIC SERVICES |
| Practice Address |
7544 Gardner Park Dr Gainesville VA 20155-3414 |
| Practice Telephone | 9196458435 |
| Practice Fax Number | 8774160196 |
| Mailing Telephone | 9196458435 |
| Mailing Fax Number | 8774160196 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |
| Authorized Official Name | JANE Y HWANG (OWNER) |
| Authorized Official Telephone | 9196458435 |
| Authorized Official Credential | FAMILY PSYCH NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0024168508 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NPI | 1396818795 | 01 |
| Street Address |
7544 GARDNER PARK DR |
| City | GAINESVILLE |
| State | VA |
| Zip Code | 20155-3414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588722425 | Lake Manassas Medical Psychiatry | Psychiatry & Neurology | 7544 Gardner Park Dr, Gainesville, VA 20155-3414 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932689387 | Debbie Ruth Romero | Massage Therapist | Gainesville Holistic Health Center, 8006 Crescent Park Drive, Gainesville, VA 20155 | 2018-08-15 |
| 1821587114 | Anh T. Pham, Dds, General Dentistry, PC | Dentist | 7544 Gardner Park Dr., Gainesville, VA 20155 | 2018-05-02 |
| 1982118618 | Renew Counseling and Services | Social Worker | 14540 John Marshall Highway, Gainesville, VA 20155 | 2017-11-16 |
| 1952831745 | Lauren Gutta Matini | Dentist | 13801 Heathcote Blvd, 100, Gainesville, VA 20155 | 2017-06-14 |
| 1023546611 | Dentists of Gainesville, PC | Dentist | 8140 Stonewall Shops Square, Gainesville, VA 20155 | 2017-05-26 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1396191870 | Isg Transport, LLC | Non-emergency Medical Transport (VAN) | 7653 Framingham Ct., Gainesville, VA 20155 | 2016-05-13 |
| 1831518356 | Alvorada Dentistry | Dentist | 13922 Estate Manor Drive, Gainesville, VA 20155 | 2014-04-11 |
| 1215352547 | Pamco Care LLC | Community/Behavioral Health | 7316 Respite Court, Gainesville, VA 20155 | 2014-02-24 |
| 1598109787 | Nader Nagy Hanna | Pharmacist | 14334 Broadwinged Dr, Gainesville, VA 20155 | 2013-04-18 |
| Find all providers in zip 20155 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659643997 | Shelby Elaine Havens | Nurse Practitioner | 3333 Ne 39th Ave, Gainesville, FL 32609-2639 | 2012-02-02 |
| 1235457250 | Amber Linnet Fountain | Nurse Practitioner | 200 Wisteria Drive, Gainesville, GA 30501-3827 | 2010-05-14 |
| 1093905291 | Jean Madeline Wood | Nurse Practitioner | Nf/sg Veterans Health System, Malcolm Randall Medical, Center, 1601 Sw Archer Road, Gainesville, FL 32608-1135 | 2007-07-25 |
| 1780711424 | Susan A Donaldson | Nurse Practitioner | 101 S Newell Avenue, Gainesville, FL 32611 | 2007-02-28 |
| 1295840122 | Anne Catherine Opuda | Nurse Practitioner | 825 Nw 23rd Ave, Bldg IIi Suite A, Gainesville, FL 32609-3574 | 2006-08-20 |
| 1659315299 | Nanci R Wood | Nurse Practitioner | 3751 Sw 86th St, Gainesville, FL 32608-7901 | 2006-06-15 |
| 1598379950 | Sara Rose Belmore | Nurse Practitioner | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-09-03 |
| 1962016592 | Dierdre Cooper | Nurse Practitioner | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-09-01 |
| 1659984979 | Alejandro J. Gutierrez | Nurse Practitioner | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-08-26 |
| 1659991156 | Kaleigh Lowe Holmes | Nurse Practitioner | 200 Wisteria Dr, Gainesville, GA 30501-3827 | 2020-04-24 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 20155 |
Please comment or provide details below to improve the information on INDEPENDENCE PSYCHIATRIC SERVICES.
| 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.