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MODERN INTEGRATIVE PSYCHIATRY, LLC
NPI 1972387892
Nurse Practitioner - Psychiatric/Mental Health in Chester, VA

Active since August 22, 2023
13000 RIVERS BEND BLVD, CHESTER, VA 23836(804) 234-4893 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 11, 2024, Jan 6, 2024, Aug 22, 2023 (3 updates tracked since 2023).

About Modern Integrative Psychiatry, Llc NPPES

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

MODERN INTEGRATIVE PSYCHIATRY, LLC (NPI 1972387892) is a healthcare organization registered as a psychiatric/mental health in Chester, Virginia and active in the NPI registry since August 2023. The organization lists Petitecha Wimbush, Psychiatric Nurse Practitioner/ceo, as its authorized official.

NPPES Registry Identity

NPI1972387892
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMODERN INTEGRATIVE PSYCHIATRY, LLC
Location Address13000 RIVERS BEND BLVDChester, VA 23836-8632
Mailing Address13000 Rivers Bend BlvdChester, VA 23836-8632 · (804) 234-4893 · Fax (804) 964-3175
Phone(804) 234-4893
Organization SubpartNo
Authorized OfficialPetitecha WimbushPsychiatric Nurse Practitioner/ceo · (804) 234-4893
Enumeration DateAugust 22, 2023
Last NPPES UpdateJune 11, 20243 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1972387892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
13000 RIVERS BEND BLVD, Chester, VA 23836
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

MS. ALEA NICOLE FINNEMORE BCBA
Behavior Analyst
13000 RIVERS BEND BLVD
CHESTER, VA 23836
Chesterfield County (804) 544-9044
PETITECHA WIMBUSH PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
13000 RIVERS BEND BLVD
CHESTER, VA 23836
Chesterfield County (804) 234-4893
KATHARINE BARKSDALE
Behavior Analyst
13000 RIVERS BEND BLVD
CHESTER, VA 23836
Chesterfield County (540) 769-7084
COLONIAL ORTHOPAEDICS, INC
Durable Medical Equipment & Medical Supplies
13000 RIVERS BEND BLVD, STE E
CHESTER, VA 23836
Chesterfield County (804) 571-5007
PEDRO QUINTERO
Behavior Analyst
13000 RIVERS BEND BLVD
CHESTER, VA 23836
Chesterfield County (703) 232-4971
FIELDER WISE
Behavior Analyst
13000 RIVERS BEND BLVD
CHESTER, VA 23836
Chesterfield County (804) 544-9044
GILLIAN ELIZABETH MUNDT
Behavior Analyst
13000 RIVERS BEND BLVD
CHESTER, VA 23836
Chesterfield County (804) 544-9044
ZOE POLITTE
Behavior Analyst
13000 RIVERS BEND BLVD
CHESTER, VA 23836
Chesterfield County (804) 544-9044

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 Modern Integrative Psychiatry, LLC's NPI number?

The NPI number for Modern Integrative Psychiatry, LLC is 1972387892. It was assigned to this organization in the NPPES registry on August 22, 2023.

Where is Modern Integrative Psychiatry, LLC located?

Modern Integrative Psychiatry, LLC is located at 13000 Rivers Bend Blvd, Chester, VA 23836. The listed phone number is (804) 234-4893.

What is Modern Integrative Psychiatry, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Modern Integrative Psychiatry, LLC was last updated on June 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.