Healthcare Provider Details

I. General information

NPI: 1942946033
Provider Name (Legal Business Name): RACHEL KERY MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2022
Last Update Date: 08/02/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VIRGINIA TREATMENT CENTER FOR CHILDREN 1308 SHERWOOD AVE
RICHMOND VA
23220
US

IV. Provider business mailing address

VCUHS GME ADMINISTRATION BOX 980257
RICHMOND VA
23298-0257
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-3137
  • Fax:
Mailing address:
  • Phone: 804-828-9783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number0116042792
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: