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EASTERN STATE HOSPITAL
NPI 1093047797
Psychiatric Hospital in Williamsburg, VA

Active since February 04, 2010
4601 IRONBOUND RD, WILLIAMSBURG, VA 23188(757) 253-4309(757) 253-4625 Get Directions Write a Review

NPPES record last updated: February 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastern State Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERN STATE HOSPITAL (NPI 1093047797) is a healthcare organization registered as a psychiatric hospital in Williamsburg, Virginia and active in the NPI registry since February 2010. The organization lists John M Favret, Hospital Director, as its authorized official.

NPPES Registry Identity

NPI1093047797
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameEASTERN STATE HOSPITAL
Location Address4601 IRONBOUND RDWilliamsburg, VA 23188-2648
Mailing Address4601 Ironbound RdWilliamsburg, VA 23188-2648 · (757) 253-4309 · Fax (757) 253-4625
Phone(757) 253-4309
Fax(757) 253-4625
Organization SubpartNo
Authorized OfficialJohn M FavretHospital Director · (757) 253-5241
Enumeration DateFebruary 4, 2010
✔ NPI 1093047797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in VA · 0101049272
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
4601 IRONBOUND RD, Williamsburg, VA 23188
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LORABEL FEROLIN LAUREL CPHT
Pharmacist (Psychiatric)
4601 IRONBOUND RD, EASTERN STATE HOSPITAL
WILLIAMSBURG, VA 23188
James City County (757) 253-5327
COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVI
Assisted Living Facility (Assisted Living, Mental Illness)
4601 IRONBOUND RD
WILLIAMSBURG, VA 23188
James City County (757) 253-5241
JULIE ANDREWS
Nurse Practitioner (Psychiatric/Mental Health)
4601 IRONBOUND RD
WILLIAMSBURG, VA 23188
James City County (757) 253-5161
MRS. LAURA LYNN BURCHAM PHARMACY TECHNICIAN
Pharmacy Technician
4601 IRONBOUND RD, EASTERN STATE HOSPITAL
WILLIAMSBURG, VA 23188
James City County (757) 253-5327
DR. BRITTANY BAK PSY.D.
Psychologist (Forensic)
4601 IRONBOUND RD
WILLIAMSBURG, VA 23188
James City County (757) 208-7668
SHINY KAITHAKUZHIYIL CHACKO
Registered Nurse (Psychiatric/Mental Health, Adult)
4601 IRONBOUND RD
WILLIAMSBURG, VA 23188
James City County (757) 253-5161
LAURA GROSSI PH.D.
Psychologist
4601 IRONBOUND RD
WILLIAMSBURG, VA 23188
James City County (757) 253-5161
COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVI
Intermediate Care Facility, Mental Illness
4601 IRONBOUND RD
WILLIAMSBURG, VA 23188
James City County (757) 253-5241

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastern State Hospital's NPI number?

The NPI number for Eastern State Hospital is 1093047797. It was assigned to this organization in the NPPES registry on February 4, 2010.

Where is Eastern State Hospital located?

Eastern State Hospital is located at 4601 Ironbound Rd, Williamsburg, VA 23188. The listed phone number is (757) 253-4309.

What is Eastern State Hospital's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

When was this NPI record last updated?

The NPPES record for Eastern State Hospital was last updated on February 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.