| Eastern Panhandle Mental Health (rehab) | |
|
235 S Water St Martinsburg WV 25401-4241 | |
| (304) 263-8954 | |
| (304) 263-8141 |
| Full Name | Eastern Panhandle Mental Health (rehab) |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 235 S Water St, Martinsburg, West Virginia |
| Authorized Official Name and Position | Rita Quinn (CEO/PRESIDENT) |
| Authorized Official Contact | 3042638954 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Panhandle Mental Health (rehab) 235 S Water St Martinsburg WV 25401-4241 Ph: (304) 263-8954 | Eastern Panhandle Mental Health (rehab) 235 S Water St Martinsburg WV 25401-4241 Ph: (304) 263-8954 |
| NPI Number | 1427197748 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Medicare PECOS PAC ID | 3375532633 |
|---|---|
| Medicare Enrollment ID | O20040511000813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427197748 | NPI | - | NPPES |
| 3810022072 | Medicaid | WV | |
| 0023817001 | Medicaid | WV | |
| 3810012620 | Medicaid | WV | |
| 0023817000 | Medicaid | WV | |
| 0023717002 | Medicaid | WV | |
| 3810022967 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 363 (West Virginia) | Primary |
| Provider Name | Ali Asghar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164494571 PECOS PAC ID: 6901805209 Enrollment ID: I20061214000424 |
| Provider Name | Kathy L Baldwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174775563 PECOS PAC ID: 9830345362 Enrollment ID: I20120815000664 |
| Provider Name | Fezan H Rizvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790813830 PECOS PAC ID: 3274794193 Enrollment ID: I20151103002956 |
| Provider Name | Christine E Oakley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720476054 PECOS PAC ID: 0941565030 Enrollment ID: I20180518001898 |
| Provider Name | Mary M Palencar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710379516 PECOS PAC ID: 5698015584 Enrollment ID: I20190312001905 |
| Provider Name | Wendy L Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508415910 PECOS PAC ID: 0446682686 Enrollment ID: I20191108002831 |
| Provider Name | Abdul Hameed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750395331 PECOS PAC ID: 1052729761 Enrollment ID: I20210419001922 |
| Provider Name | Marsha A Mills |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013015551 PECOS PAC ID: 4082154414 Enrollment ID: I20240911003331 |
| Provider Name | Jane E Dufourny |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750451563 PECOS PAC ID: 5294266748 Enrollment ID: I20241008001964 |
| Provider Name | John D. Clark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235223041 PECOS PAC ID: 0648702290 Enrollment ID: I20241021001834 |
| Provider Name | Dorothy Marie Watson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245271295 PECOS PAC ID: 4880128339 Enrollment ID: I20241107000090 |
| Provider Name | Donald A Patchell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396863841 PECOS PAC ID: 6507391919 Enrollment ID: I20241121004495 |
| Provider Name | Vicki Marie Schmidt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184931594 PECOS PAC ID: 3678009446 Enrollment ID: I20241204002131 |
| Provider Name | Jaime Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679344246 PECOS PAC ID: 2264968767 Enrollment ID: I20241206002947 |
Courageous Journey, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1664 Winchester Ave, Ste B, Martinsburg, WV 25405 Phone: 304-901-4347 Fax: 888-596-2658 | |
West Virginia University Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Wilson St, Martinsburg, WV 25401 Phone: 304-596-2899 Fax: 304-901-7045 | |
American Family Matters Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 231 Jefferson St, Martinsburg, WV 25401 Phone: 301-620-1999 Fax: 301-620-7672 | |
Wvu Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Foundation Way Ste 2600, Martinsburg, WV 25401 Phone: 304-267-1944 Fax: 304-267-1946 | |
Tristate Psychotherapy Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 142 N Queen St Ste 212, Martinsburg, WV 25401 Phone: 304-268-6591 | |
Diverse Counseling Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 142 N Queen St, Martinsburg, WV 25401 Phone: 304-839-8074 Fax: 304-205-0516 | |
Psychological Counseling Therapies,pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 W Burke St, Martinsburg, WV 25401 Phone: 304-676-2808 |