ROGER PAUL MOONEY (NPI# 1831175595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831175595 |
| Entity Type | Individual |
| Full Name | ROGER PAUL MOONEY |
| Credential | M.A., ED.D |
| Practice Address |
24 Mallard Ct Beckley WV 25801-3664 |
| Mailing Address |
Po Box 1025 Beckley WV 25802-1025 |
| Practice Telephone | 3042528409 |
| Practice Fax Number | 3042520022 |
| Mailing Telephone | 3042528409 |
| Mailing Fax Number | 3042520022 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
154 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0162888000 | 05 |
| Street Address |
24 MALLARD CT |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-3664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689912214 | West Virginia Sleep Centers,inc. | Clinic/Center | 24 Mallard Ct, Beckley, WV 25801-3664 | 2013-01-16 |
| 1063510790 | Debra Lynn Lilly | Psychologist | 24 Mallard Ct, Beckley, WV 25801-3664 | 2006-09-20 |
| 1154347607 | Omar K Hasan | Psychiatry & Neurology | 24 Mallard Ct, Beckley, WV 25801-3664 | 2006-07-15 |
| 1609891555 | Pam P Washington | Psychiatry & Neurology | 24 Mallard Ct, Beckley, WV 25801-3664 | 2006-07-13 |
| 1043242118 | Michael L Mcdaniel | Psychologist | 24 Mallard Ct, Beckley, WV 25801-3664 | 2006-07-07 |
| 1588640700 | Michael Anthony Johnson | Psychiatry & Neurology | 24 Mallard Ct, Beckley, WV 25801-3664 | 2005-12-20 |
| 1154307361 | John Henry Johnson Jr. | Psychiatry & Neurology | 24 Mallard Ct, Beckley, WV 25801-3664 | 2005-12-20 |
| 1205812914 | Raleigh Psychiatric Services, Inc. | Psychologist | 24 Mallard Ct, Beckley, WV 25801-3664 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023094729 | Debra Russell Mooney | Psychiatry & Neurology | 28 Mallard Ct, Beckley, WV 25801-3664 | 2005-12-15 |
| 1609891555 | Pam P Washington | Psychiatry & Neurology | 24 Mallard Ct, Beckley, WV 25801-3664 | 2006-07-13 |
| 1588640700 | Michael Anthony Johnson | Psychiatry & Neurology | 24 Mallard Ct, Beckley, WV 25801-3664 | 2005-12-20 |
| 1154307361 | John Henry Johnson Jr. | Psychiatry & Neurology | 24 Mallard Ct, Beckley, WV 25801-3664 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386025765 | Sublime Behavioral Health Pllc | Psychiatry & Neurology | 124 1/2 S Queen St, Martinsburg, WV 25401-3316 | 2015-06-11 |
| 1154542108 | Chad H Priestley | Psychiatry & Neurology | 1 Medical Center Drive, Louis A Johnson Va Medical Center, Clarksburg, WV 26301-4199 | 2007-05-01 |
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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.