# NORTH SUFFOLK PSYCHIATRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386378057
- **Authorized official:** MRS. KATLYN BROOKE TILLETT MSN, APRN, PMHNP-BC (MANAGING MEMBER)
- **Authorized official phone:** (757) 758-6001

## Contact information

- **Practice address:** 3897 BRIDGE RD STE 104B, SUFFOLK, VA 23435-1911
- **Practice address phone:** (757) 758-6001
- **Mailing address:** 3897 BRIDGE RD STE 104, SUFFOLK, VA 23435-1911
- **Mailing address phone:** (757) 758-6001
- **Mailing address fax:** (757) 758-6844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2022
- **Last updated:** 11/17/2023