LOUIS A. JOHNSON VA MEDICAL CENTER (NPI# 1538462734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538462734 |
| Entity Type | Organization |
| Organization Name | LOUIS A. JOHNSON VA MEDICAL CENTER |
| Practice Address |
1 Med Center Dr Clarksburg WV 26301-4155 |
| Mailing Address |
243 Cherry St Morgantown WV 26501-6113 |
| Practice Telephone | 3046233461 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |
| Authorized Official Name | DR. JACQUELINE RENEE ELSTER (PSYCHOLOGIST) |
| Authorized Official Telephone | 3046233461 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Street Address |
1 MED CENTER DR |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301-4155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374694 | Laura Ann Francis | Social Worker | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2020-10-21 |
| 1487267662 | Kelsey Marie Hinzman | Pharmacist | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2020-08-26 |
| 1003454133 | Lesa Yvonne Meinze | Social Worker | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2019-12-19 |
| 1255817060 | Mervan Newbold | Pharmacist | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2018-07-15 |
| 1689188724 | Morgan Long | Occupational Therapist | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2017-11-28 |
| 1487184586 | Sara Stover | Pharmacist | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2017-06-13 |
| 1508306127 | Gary Farley | Registered Nurse | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2017-03-01 |
| 1942745476 | Susan Michele Rogers | Pharmacist | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2016-12-19 |
| 1134679798 | Veterans Health Administration | Clinic/Center | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2016-10-07 |
| 1003365446 | Anna Besedich | Nurse Practitioner | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2016-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| Find all providers in zip 26301 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750424909 | Solacium Allredge Academy | Psychiatric Residential Treatment Facility | Route 32, William Avenue, Davis, WV 26260 | 2007-02-15 |
| 1598389405 | Summit Bhc West Virginia LLC | Psychiatric Residential Treatment Facility | 300 56th St Se, Charleston, WV 25304-2308 | 2020-06-05 |
| 1114445004 | Mbh Highland, LLC | Psychiatric Residential Treatment Facility | 300 56th St Se, Charleston, WV 25304-2308 | 2017-08-31 |
| 1891152674 | Highland Hospital Association | Psychiatric Residential Treatment Facility | 300 56th St Se, Charleston, WV 25304-2308 | 2016-01-25 |
| City | CLARKSBURG |
| Zip Code | 26301 |
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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.