VIRTUAL PSYCHIATRY LLC
NPI 1114817004
Psychiatric Residential Treatment Facility in Brockton, MA

Active since July 03, 2025
9 PAULINE STREET, BROCKTON, MA 02302(774) 344-5914(508) 213-3628 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Psychiatric Residential Treatment Facili...

About VIRTUAL PSYCHIATRY LLC

This page provides the complete NPI Profile along with additional information for Virtual Psychiatry Llc, a provider established in Brockton, Massachusetts operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1114817004 assigned on July 2025. The practitioner's primary taxonomy code is 323P00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mrs. Liudmila Cardoso Aprn (Pmhnp)

NPI
1114817004 Verify this NPI
Provider Name
VIRTUAL PSYCHIATRY LLC
Entity Type
Organization
Location Address
9 PAULINE STREET BROCKTON, MA 02302
Location Phone
(774) 344-5914
Location Fax
(508) 213-3628
Mailing Address
9 PAULINE ST BROCKTON, MA 02302
Mailing Phone
(774) 240-5585
Mailing Fax
(508) 213-3628
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-03-2025
Last Update Date
07-03-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. LIUDMILA CARDOSO APRN

Authorized Official Title
PMHNP
Authorized Official Phone
(774) 240-5585

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114817004, enumerated as an "organization" on July 03, 2025.

The provider is located at 9 PAULINE STREET BROCKTON, MA 02302 and the phone number is (774) 344-5914.

Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.