OrganizationActive
Lake Manassas Medical Psychiatry
NPI 1588722425 · Psychiatry Physician · Gainesville, VA
Provider details
- NPI number
- 1588722425
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Craig Krause, Sole Member(703) 772-7400
- License
- 0101233772 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7544 Gardner Park Dr
Gainesville, VA 20155-3414
Phone: (703) 772-7400
Fax: (703) 940-9179
Street-level locationGet directions
Mailing address
7544 Gardner Park Dr
Gainesville, VA 20155-3414
Registry dates
- Enumerated
- 2006-12-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.