Devaraj Behavioral Healthcare Pllc - Medicare Mental Health Clinic in South Charleston, WV

Devaraj Behavioral Healthcare Pllc is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in South Charleston, West Virginia. The current practice location for Devaraj Behavioral Healthcare Pllc is 1109 Jefferson Rd Ste C, South Charleston, West Virginia. For appointments, you can reach them via phone at (877) 338-2725. The mailing address for Devaraj Behavioral Healthcare Pllc is 1109 Jefferson Rd Ste C, South Charleston, West Virginia and phone number is (877) 338-2725.

Devaraj Behavioral Healthcare Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1093362840. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (877) 338-2725.

Contact Information

Devaraj Behavioral Healthcare Pllc
1109 Jefferson Rd Ste C
South Charleston
WV 25309-8815
(877) 338-2725
(304) 715-3537

Map and Direction


Mental Health Clinic Profile

Full NameDevaraj Behavioral Healthcare Pllc
SpecialityPsychiatry & Neurology
Location1109 Jefferson Rd Ste C, South Charleston, West Virginia
Authorized Official Name and PositionJacob M Bounds (CLINICAL DIRECTOR)
Authorized Official Contact8773382725
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Devaraj Behavioral Healthcare Pllc
1109 Jefferson Rd Ste C
South Charleston
WV 25309-8815

Ph: (877) 338-2725
Devaraj Behavioral Healthcare Pllc
1109 Jefferson Rd Ste C
South Charleston
WV 25309-8815

Ph: (877) 338-2725

NPI Details:

NPI Number1093362840
Provider Enumeration Date08/26/2019
Last Update Date01/05/2022
Certification Date01/05/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9234565649
Medicare Enrollment IDO20200204000161

Medical Identifiers

Medical identifiers for Devaraj Behavioral Healthcare Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093362840NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Primary
251S00000XCommunity/behavioral Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Devaraj Behavioral Healthcare Pllc acts as a billing entity for following providers:
Provider NamePamela Neal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548225881
PECOS PAC ID: 1052338530
Enrollment ID: I20051025000496
Provider NameKiran Shashi Devaraj
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1003878984
PECOS PAC ID: 6204857105
Enrollment ID: I20051207000524
Provider NameJacob Matthew Bounds
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154921799
PECOS PAC ID: 9032523592
Enrollment ID: I20230803000692

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.