EASTERN PANHANDLE PSYCHIATRY INC NPI 1407930225

NPI Information

  • NPI: 1407930225
  • Provider Name: EASTERN PANHANDLE PSYCHIATRY, INC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 51 STREET OF DREAMS
    MARTINSBURG, WV
    ZIP 25403
  • Phone: (304) 264-1442

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NPI Details

EASTERN PANHANDLE PSYCHIATRY, INC is a community behavioral health in Martinsburg, 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. EASTERN PANHANDLE PSYCHIATRY, INC NPI is 1407930225. The provider is registered as an organization entity type.

The provider's business location address is:

51 STREET OF DREAMS
MARTINSBURG, WV
ZIP 25403-134
Phone: (304) 264-1442
Fax: (304) 264-4317

The provider's authorized official is Shahnoor Ali Khan .
The authorized official title is President and has the following contact phone number (703) 400-3433.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 3/7/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral Health20620WEST 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11346342458OTHERWEST VIRGINIAINDIVIDUAL NPI
22000700000MEDICAIDWEST VIRGINIA
320620OTHERWEST VIRGINIAWV LICENSE
4D0064888OTHERMARYLANDMD LICENSE

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: 11/21/2025

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