PSYCHOLOGICAL ASSESSMENT AND INTERVENTION SERVICES (NPI# 1477955235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477955235 |
| Entity Type | Organization |
| Organization Name | PSYCHOLOGICAL ASSESSMENT AND INTERVENTION SERVICES |
| Practice Address |
4834 Maccorkle Ave Sw South Charleston WV 25309-1340 |
| Practice Telephone | 3043469586 |
| Practice Fax Number | 3043442169 |
| Mailing Telephone | 3043469586 |
| Mailing Fax Number | 3043442169 |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |
| Authorized Official Name | MRS. JESSICA D MEADOWS (BUSINESS MANAGER) |
| Authorized Official Telephone | 3043469586 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | 566 | WV | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0005412000 | 05 |
| Street Address |
4834 MACCORKLE AVE SW |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309-1340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710198858 | Kimberly Dawn Warren | Specialist | 4834 Maccorkle Ave Sw, South Charleston, WV 25309-1340 | 2007-05-24 |
| 1124356035 | Richard Samuel Morgan | Psychologist | 4834 Maccorkle Ave Sw, South Charleston, WV 25309-1340 | 2009-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518583194 | Nuskool Scholars | Respite Care | 109 E Main St, Beckley, WV 25801-4627 | 2020-06-19 |
| 1083017610 | Russell Nesbitt Services Inc | Respite Care | 431 Fulton St, Wheeling, WV 26003-6529 | 2014-09-26 |
| 1609295112 | Valley Comprehensive Community Mental Health Center | Respite Care | 301 Scott Ave, Morgantown, WV 26508-8804 | 2014-04-11 |
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
Please comment or provide details below to improve the information on PSYCHOLOGICAL ASSESSMENT AND INTERVENTION SERVICES.
| 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.