Provider Demographics
NPI:1053542118
Name:PETRI, JUSTIN D (MD)
Entity type:Individual
Prefix:
First Name:JUSTIN
Middle Name:D
Last Name:PETRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:220 CAMPUS BLVD STE 320
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2889
Mailing Address - Country:US
Mailing Address - Phone:540-536-5100
Mailing Address - Fax:540-536-0235
Practice Address - Street 1:172 LINDEN DR STE 111
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2892
Practice Address - Country:US
Practice Address - Phone:540-536-4881
Practice Address - Fax:540-536-3274
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012470262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA406418OtherANTHEM BC/BS
VAPAROtherMHN/TRICARE
NC5914288Medicaid
VAPAROtherVA HEALTH NETWORK
VAPAROtherVA PREMIER HEALTH (EVMS HEALTH SERVICES)
VAPAROtherFIRST HEALTH COMMERCIAL
VAPAROtherUSA MANAGED CARE (EVMS HEALTH SERVICES)
VAPAROtherCIGNA BEHAVIORAL HEALTH
VAPAROtherAETNA (EVMS HEALTH SERVICES)
VA1053542118OtherOPTIMA BEHAVIORAL HEALTH
VAPAROtherMULTIPLAN
VA1053542118Medicaid
VAPAROtherVALUE OPTIONS
VAPAROtherCORVEL/CORCARE
VAPAROtherMAGELLAN HEALTH SERVICES
VAPAROtherUNITED BEHAVIORAL HEALTH
VAPAROtherCORVEL/CORCARE
VAPAROtherUSA MANAGED CARE (EVMS HEALTH SERVICES)