Centra Health Professional Services, LLC
Psychiatry & Neurology, Psychiatry in Lynchburg, VA. Organization (NPI-2).
NPI number1881979342
StatusActive
Last updated in NPPESOct 17, 2011
Details
- NPI
- 1881979342
- Entity type
- Organization (NPI-2)
- Legal business name
- Centra Health Professional Services, LLC
- Organization subpart
- Yes
- Enumeration date
- Oct 17, 2011
- Last updated
- Oct 17, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Other names
- Senior Psych Program (Doing Business As)
Practice location
3300 Rivermont AveLynchburg, VA 24503-2030
Phone 434-200-5999
Mailing address
1204 Fenwick DrLynchburg, VA 24502-2112
Authorized official
Arthur Leavitt
Vp Physician Practice Management
4342003656
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