| Summit Bhc West Virginia, Llc | |
|
300 56th St Se Charleston WV 25304-2308 | |
| (304) 926-1000 | |
| Not Available |
| Full Name | Summit Bhc West Virginia, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 300 56th St Se, Charleston, West Virginia |
| Authorized Official Name and Position | Paul Gilbert (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 6157164924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Bhc West Virginia, Llc 389 Nichol Mill Ln Franklin TN 37067-4882 Ph: (877) 463-3553 | Summit Bhc West Virginia, Llc 300 56th St Se Charleston WV 25304-2308 Ph: (304) 926-1000 |
| NPI Number | 1801411905 |
|---|---|
| Provider Enumeration Date | 06/15/2020 |
| Last Update Date | 09/27/2023 |
| Certification Date | 09/27/2023 |
| Medicare PECOS PAC ID | 2860818499 |
|---|---|
| Medicare Enrollment ID | O20200813001564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801411905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Loretta Ann Bostic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629068705 PECOS PAC ID: 2466357280 Enrollment ID: I20031204000912 |
| Provider Name | Hussein E El-khatib |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932210762 PECOS PAC ID: 2860463247 Enrollment ID: I20040802000605 |
| Provider Name | Paula K Reilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275622375 PECOS PAC ID: 5991750994 Enrollment ID: I20050311000964 |
| Provider Name | Thopsie V Jagannath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043257629 PECOS PAC ID: 6103858543 Enrollment ID: I20050912000705 |
| Provider Name | Kiran Shashi Devaraj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003878984 PECOS PAC ID: 6204857105 Enrollment ID: I20051207000524 |
| Provider Name | Glenn Robert Goldfarb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679536627 PECOS PAC ID: 3678767134 Enrollment ID: I20101029000149 |
| Provider Name | Alexandra Isabelle Schick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922201151 PECOS PAC ID: 1355513896 Enrollment ID: I20111005000939 |
| Provider Name | Brandon K Lilly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992191472 PECOS PAC ID: 7810277720 Enrollment ID: I20161212002041 |
| Provider Name | Rajesh K Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871858340 PECOS PAC ID: 5698048502 Enrollment ID: I20170829000024 |
| Provider Name | Jill Marie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821507492 PECOS PAC ID: 2668739525 Enrollment ID: I20171130002134 |
| Provider Name | Cheri Call |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043706872 PECOS PAC ID: 7315296696 Enrollment ID: I20180926003383 |
| Provider Name | Ashley Collins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457747933 PECOS PAC ID: 1254671191 Enrollment ID: I20190313000207 |
| Provider Name | Kamal Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538555016 PECOS PAC ID: 4082954714 Enrollment ID: I20190315002589 |
| Provider Name | John Hendleman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104219070 PECOS PAC ID: 8527339951 Enrollment ID: I20200416001802 |
| Provider Name | Fahd Mousa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588026124 PECOS PAC ID: 8729373337 Enrollment ID: I20200626001788 |
| Provider Name | Robert L Horne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104994045 PECOS PAC ID: 9335190594 Enrollment ID: I20210715001602 |
| Provider Name | Allison R Nolan-phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063021319 PECOS PAC ID: 6800214867 Enrollment ID: I20220817002221 |
| Provider Name | Derek Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144953068 PECOS PAC ID: 1456735455 Enrollment ID: I20230602000325 |
| Provider Name | Norrell Jenae Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689356271 PECOS PAC ID: 8224487806 Enrollment ID: I20231207002183 |
| Provider Name | Hina D Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316387731 PECOS PAC ID: 5193033017 Enrollment ID: I20240219000216 |
| Provider Name | Samantha Lee Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750161659 PECOS PAC ID: 9931544343 Enrollment ID: I20240226001179 |
| Provider Name | Walter David Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245664531 PECOS PAC ID: 9335456599 Enrollment ID: I20240228004196 |
| Provider Name | Alfred Tager |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396372637 PECOS PAC ID: 1456775352 Enrollment ID: I20240401003250 |
| Provider Name | Ellen Bowers Mcbride |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790845519 PECOS PAC ID: 2769467869 Enrollment ID: I20240605003064 |
| Provider Name | Tobias Murphy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699265066 PECOS PAC ID: 9133650252 Enrollment ID: I20241001000664 |
In Harmony Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1027 Quarrier St, Charleston, WV 25301 Phone: 681-265-9126 | |
Psimed Oasis, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Peyton Way, Charleston, WV 25309 Phone: 304-720-8466 Fax: 304-720-8463 | |
Camc Family Resource Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Pennsylvania Ave, Family Resource Center, Charleston, WV 25302 Phone: 304-388-1596 Fax: 304-388-2781 | |
The Healing House, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Delaware Ave, Charleston, WV 25302 Phone: 681-205-8661 | |
Community Growth Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 Virginia St E Ste 100, Charleston, WV 25301 Phone: 704-361-1999 | |
Linda S Geronilla Phd Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 92 Cook Dr, Charleston, WV 25314 Phone: 304-342-2260 Fax: 304-344-4522 | |
Doc Bailey Project Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4701 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-503-3448 |