MARTIN BEHAVIORAL HEALTH (NPI# 1255548186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255548186 |
| Entity Type | Organization |
| Organization Name | MARTIN BEHAVIORAL HEALTH |
| Practice Address |
521 Market St Parkersburg WV 26101-5150 |
| Mailing Address |
521 Market St Box 1 Parkersburg WV 26101-5150 |
| Practice Telephone | 3044243457 |
| Practice Fax Number | 3044221025 |
| Mailing Telephone | 3044243457 |
| Mailing Fax Number | 3044221025 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. THOMAS RICHARD MARTIN (PRESIDENT) |
| Authorized Official Telephone | 3044243457 |
| Authorized Official Credential | BA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1011-4283 | WV | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810008597 | 05 |
| Street Address |
521 MARKET ST |
| City | PARKERSBURG |
| State | WV |
| Zip Code | 26101-5150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063775302 | Joanna Lynn Davis | Midwife | 521 Market St, 2nd Floor, Bx 12, Parkersburg, WV 26101-5150 | 2012-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332682 | Tana Shea | Technician | 1906 Camden Ave, Parkersburg, WV 26101 | 2020-10-08 |
| 1386241776 | Karen Sleeth-harrison | Technician | 149 Rolling Hills Ct, Parkersburg, WV 26101 | 2020-10-08 |
| 1679120786 | Hope Hill Mental Wellness Center LLC | Nurse Practitioner | 1809 Dupont Rd E. Suite #1, Parkersburg, WV 26101 | 2019-08-22 |
| 1699230128 | Sarah Marie Hendrix | Nurse Practitioner | 1013 Garfield Avenue, Parkersburg, WV 26101 | 2019-02-08 |
| 1871085787 | Jeffrey G. Minchau, Dds, Ms, Inc. | Dentist | 2601 Dudley Avenue, Bldg. 1, Parkersburg, WV 26101 | 2018-06-06 |
| 1902324544 | Medexpress Urgent Care, PC - Virginia | Family Medicine | 17 Ronald Regan Drive, Parkersburg, WV 26101 | 2017-09-05 |
| 1033634282 | Caitlin Elizabeth Lanese | Speech-Language Pathologist | 2010 Garfield Ave Ste 2, Parkersburg, WV 26101 | 2017-08-09 |
| 1386168391 | Maria Cristina Steriu | Internal Medicine | 800 Garfield Ave Rm G102, Parkersburg, WV 26101 | 2017-08-01 |
| 1003342791 | Sue Ellen Kendall | Community Health Worker | 3407 7th Ave, Parkersburg, WV 26101 | 2017-05-02 |
| 1083161400 | Total Renal Care Inc | Clinic/Center | 214 Gihon Vlg, Parkersburg, WV 26101 | 2016-09-01 |
| Find all providers in zip 26101 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316046956 | Horizons Center for Independent Living Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 934 Williams St, Parkersburg, WV 26101-4851 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528602950 | True Choice Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 188 Taylor St, Ronceverte, WV 24970-1598 | 2019-10-29 |
| 1356825640 | Focused On You, LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1709 Us Route 60 W, Milton, WV 25541-1133 | 2018-09-21 |
| 1891293056 | Linx Community Service, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1307 Williamstown Pike, Williamstown, WV 26187-8168 | 2018-01-23 |
| 1043417975 | Martinsburg Work Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24 Integrity Ter, Martinsburg, WV 25401-3524 | 2007-07-03 |
| 1073737706 | Sycamore Run, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Rr 2 Box 215a, Keyser, WV 26726-9230 | 2007-04-12 |
| 1164606935 | Florence Crittenton Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2606 National Rd, Wheeling, WV 26003-5370 | 2007-12-28 |
| City | PARKERSBURG |
| Zip Code | 26101 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.