EASTERN PANHANDLE PSYCHIATRY, INC (NPI# 1407930225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407930225 |
| Entity Type | Organization |
| Organization Name | EASTERN PANHANDLE PSYCHIATRY, INC |
| Practice Address |
51 Street of Dreams Martinsburg WV 25403-1134 |
| Mailing Address |
Po Box 4056 Martinsburg WV 25402-4056 |
| Practice Telephone | 3042641442 |
| Practice Fax Number | 3042644317 |
| Mailing Telephone | 3042641442 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | SHAHNOOR ALI KHAN (PRESIDENT) |
| Authorized Official Telephone | 7034003433 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 20620 | WV | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MD LICENSE | D0064888 | 01 |
| WV | INDIVIDUAL NPI | 1346342458 | 01 |
| WV | DEA | BK7486168 | 01 |
| WV | 2000700000 | 05 | |
| WV | WV LICENSE | 20620 | 01 |
| Street Address |
51 STREET OF DREAMS |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25403-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346342458 | Shahnoor Ali Khan | Psychiatry & Neurology | 51 Street of Dreams, Martinsburg, WV 25403-1134 | 2006-09-01 |
| 1275169914 | Susanne Caroline Lilly | Social Worker | 51 Street of Dreams, Martinsburg, WV 25403-1134 | 2020-03-13 |
| 1114580347 | Susan Clark | Social Worker | 51 Street of Dreams, Martinsburg, WV 25403-1134 | 2019-04-14 |
| 1891246724 | Barbara Ann Kadesky | Nurse Practitioner | 51 Street of Dreams, Martinsburg, WV 25403-1134 | 2016-10-15 |
| 1508106550 | Camilla French Rebuck | Social Worker | 51 Street of Dreams, Martinsburg, WV 25403-1134 | 2013-02-27 |
| 1376839886 | Robyn M Harrison-taft | Counselor | 51 Street of Dreams, Martinsburg, WV 25403-1134 | 2011-06-22 |
| 1760795405 | Martinsburg Urgent Care Inc | Family Medicine | 51 Street of Dreams, Martinsburg, WV 25403-1134 | 2010-07-23 |
| 1841422045 | Chambers Chiropractic Offices, C.c. Inc | Chiropractor | 51 Street of Dreams, Martinsburg, WV 25403-1134 | 2009-08-20 |
| 1013130178 | Mary Lynne Perkins | Nurse Practitioner | 51 Street of Dreams, Martinsburg, WV 25401-1134 | 2007-04-10 |
| 1134299340 | Terry W Chambers | Chiropractor | 51 Street of Dreams, Martinsburg, WV 25401-1134 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912339 | Elizabeth Hutzler | Registered Nurse | Berkeley County Brd of Education, 1453 Wincherster Avenue, Martinsubug, WV 25403 | 2018-12-03 |
| 1326442146 | Jennifer Anne Markovits | Pharmacist | 1171 Horizon Way, Martinsburg, WV 25403 | 2014-10-22 |
| 1255763819 | Parkhill Counseling, LLC | Counselor | 93 Crimson Cr., Martinsburg, WV 25403 | 2013-08-06 |
| 1265556039 | Andrea Christina Petrucci Kackley | Counselor | 2914 Hedgesville Road, Apple Ridge Counseling Associates, Martinsburg, WV 25403 | 2007-03-19 |
| 1568935583 | Joy Gesford | Registered Nurse | Berkeley County Board of Education, 1453 Winchester Avenue, Martinsburg, WV 25403 | 2019-01-03 |
| 1295203818 | Tina Cameron | Registered Nurse | Berkeley County Board of Education, 1453 Winchester Avenue, Martinsburg, WV 25403 | 2018-11-13 |
| 1376718882 | Patricia M Hartman | Dentist | 50 Street of Dreams, Martinsburg, WV 25403 | 2008-04-25 |
| 1700217585 | Thais Gonzalez | Nurse's Aide | 416 Gantt Dr, Martinsburg, WV 25403-0281 | 2013-12-04 |
| 1407319726 | Kimberly Anne Saul | Nurse Practitioner | 3 Ceritos Trl, Martinsburg, WV 25403-0300 | 2019-04-12 |
| 1962745950 | Jason Bryce Swalm | Emergency Medicine | 3 Ceritos Trail, Martinsburg, WV 25403-0300 | 2013-03-28 |
| Find all providers in zip 25403 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740844125 | Kashur Counseling Services LLC | Community/Behavioral Health | 142 N Queen St Ste 211, Martinsburg, WV 25401-3312 | 2019-05-01 |
| 1952877334 | Callahan Counseling Services | Community/Behavioral Health | 415 Wilson St, Martinsburg, WV 25402-1074 | 2018-10-23 |
| 1598290363 | My Life My Way Inc | Community/Behavioral Health | 115 Aikens Ctr, Suite 10, Martinsburg, WV 25404-6210 | 2017-04-28 |
| 1093263642 | Be Well Counseling Services | Community/Behavioral Health | 126 E Burke St, Martinsburg, WV 25401-4302 | 2016-09-12 |
| 1760887459 | Board of Child Care of The United Methodist Church, Inc | Community/Behavioral Health | 27 Campolina Way, Martinsburg, WV 25404-1105 | 2014-10-24 |
| 1013327048 | American Family Matters LLC | Community/Behavioral Health | 231 Jefferson St, Martinsburg, WV 25401-1605 | 2014-04-29 |
| 1578628228 | Tri-county Pastoral Counseling Service | Community/Behavioral Health | 220 W Burke St, Martinsburg, WV 25401-3322 | 2006-12-23 |
| 1730624008 | Board of Child Care of The United Methodist Church | Community/Behavioral Health | 715 Brown Rd, Martinsburg, WV 25404-7282 | 2016-12-22 |
| 1407210438 | My Life, My Way, Inc. | Community/Behavioral Health | 300 Foxcroft Ave, Suite 301, Martinsburg, WV 25401-5341 | 2016-04-06 |
| 1861812356 | Eastern Panhandle Mental Health Center (tbi) | Community/Behavioral Health | 235 S Water St, Martinsburg, WV 25401-4241 | 2014-04-23 |
| Find all providers in MARTINSBURG | ||||
| City | MARTINSBURG |
| Zip Code | 25403 |
Please comment or provide details below to improve the information on EASTERN PANHANDLE PSYCHIATRY, INC.
| 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.