THE CENTER FOR PEDIATRIC NEUROPSYCHOLOGY & BEHAVIORAL HEALTH, PLLC (NPI# 1497906663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497906663 |
| Entity Type | Organization |
| Organization Name | THE CENTER FOR PEDIATRIC NEUROPSYCHOLOGY & BEHAVIORAL HEALTH, PLLC |
| Practice Address |
910 4th Ave Suite 302 Huntington WV 25701-1437 |
| Mailing Address |
Po Box 2333 Huntington WV 25724-2333 |
| Practice Telephone | 3044121637 |
| Mailing Telephone | 3044121637 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |
| Authorized Official Name | DR. THOMAS DAVID LINZ (MEMBER) |
| Authorized Official Telephone | 3044121637 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
550 | WV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0163829000 | 05 |
| Street Address |
910 4TH AVE SUITE 302 |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25701-1437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780833491 | Helene Renee Jacobs | Psychiatry & Neurology | 910 4th Ave, Suite 302, Huntington, WV 25701-1437 | 2008-09-17 |
| 1952453524 | William J Given | Psychologist | 910 4th Ave, Suite 500, Huntington, WV 25701-1437 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607803 | Sara Tonya Hicks | Technician | 742 4th Avenue, Huntington, WV 25701 | 2020-10-21 |
| 1316550791 | Ethan Scott Miller | Counselor | 1538 Charleston Ave., Huntington, WV 25701 | 2020-08-26 |
| 1336752674 | Brock Riley Hapney | Student in an Organized Health Care Education/Training Program | 1538 Charelston Avenue, Huntington, WV 25701 | 2020-08-26 |
| 1558972224 | Ardith Ruth Bartram | Technician | 4045 C 8th Street Road, Huntington, WV 25701 | 2020-08-14 |
| 1144839614 | Randall Edward Short | Behavior Technician | 10th Sixth Avenue West, Huntington, WV 25701 | 2020-07-30 |
| 1609495191 | Melanie Jean Howard | Pharmacist | 1538 Charleston Avenue, Huntington, WV 25701 | 2020-04-14 |
| 1205472016 | Kelly Kauffer | Technician | 1012 Johns Court, Huntington, WV 25701 | 2019-11-27 |
| 1265082648 | Matt France | Technician | 3650 Taymor Rd, Huntington, WV 25701 | 2019-09-17 |
| 1538649348 | Kathryn Markus | Pharmacist | 1500 Medical Center Drive, Huntington, WV 25701 | 2018-08-21 |
| 1487155636 | Heather Marie Rogers | Nurse Practitioner | 940 4th Ave, Huntington, WV 25701 | 2018-02-23 |
| Find all providers in zip 25701 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912034232 | Autism Services Center | Clinic/Center | 10 6th Ave W, Huntington, WV 25701-0028 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053725309 | Monongalia County Child Advocacy Center, Inc. | Clinic/Center | 909 Greenbag Rd, Morgantown, WV 26508-1504 | 2014-06-15 |
| City | HUNTINGTON |
| Zip Code | 25701 |
Please comment or provide details below to improve the information on THE CENTER FOR PEDIATRIC NEUROPSYCHOLOGY & BEHAVIORAL HEALTH, PLLC.
| 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.