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PRESTERA CENTER FOR MENTAL HEALTH NPI 1356336903


NPI Information

NPI: 1356336903
Provider Name: PRESTERA CENTER FOR MENTAL HEALTH
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
3375 US RT 60 E
HUNTINGTON, WV
ZIP 25705
Phone: (304) 525-7851
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PRESTERA CENTER FOR MENTAL HEALTH is a community behavioral health in Huntington, WV. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PRESTERA CENTER FOR MENTAL HEALTH NPI is 1356336903. The provider is registered as an organization entity type.

The provider's business location address is:

3375 US RT 60 E
HUNTINGTON, WV
ZIP 25705-069
Phone: (304) 525-7851
Fax: (304) 586-0671

The provider's authorized official is Polina A Blair .
The authorized official title is Credentialing Specialist and has the following contact phone number (304) 525-7851.

The enumeration date for this NPI number is 9/20/2005 and was last updated on 6/10/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health288WEST VIRGINIANo
2273R00000XPsychiatric Unit289WEST VIRGINIANo
3251S00000XCommunity/Behavioral HealthWEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13810022070OTHERWEST VIRGINIABHHF
29122432MEDICARE PINWEST VIRGINIA
3001703804OTHERWEST VIRGINIABCBS OUTPATIENT
4BP00944410OTHERWEST VIRGINIALICENSE
5514604MEDICARE OSCAR/CERTIFICATIONWEST VIRGINIA
60991575MEDICAIDOHIO
7001703803OTHERWEST VIRGINIABCBS CRU 273R0000X
80005355002MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.