NPI 1114817004
Virtual Psychiatry LLC
Practice location
- Address
- 9 Pauline Street, Brockton, MA 02302
- Phone
- (774) 344-5914
- Fax
- (508) 213-3628
- Mailing address
- 9 Pauline St, Brockton, MA 02302-3800
Authorised official
- Name
- Liudmila Cardoso
- Title
- Pmhnp
- Phone
- (774) 240-5585
Registered specialties (2)
Psychiatric Residential Treatment Facility
Primary
Adult Mental Health Clinic/Center
Registry record
- NPI
- 1114817004
- Entity type
- Organization
- NPI issued
- 3 Jul 2025
- Record last updated
- 3 Jul 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.