Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Manassas Medical Psychiatry

Organization Psychiatry Physician · NPI 1588722425

Lake Manassas Medical Psychiatry is a Psychiatry Physician in Gainesville, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006

Practice location Address checks out

7544 Gardner Park Dr
Gainesville, VA 20155-3414
Phone: (703) 772-7400
Fax: (703) 940-9179
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 0101233772 (VA)

Record details

NPI number1588722425
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Craig Krause — Sole Member · (703) 772-7400
NPI enumeratedDecember 4, 2006
Last updated in NPPESAugust 22, 2020
Mailing address7544 Gardner Park Dr, Gainesville, VA 20155-3414

Other providers in Gainesville