New Beginnings Drug Treatment Center, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2017-008 Issued in WV

Legal business name

NEW BEGINNINGS DRUG TREATMENT CENTER, INC.

Practice address

4855 Maccorkle Ave SW
South Charleston, WV 25309-1331

Phone

(304) 720-4444

Fax

(646) 839-2999

NPI assigned

Feb 23, 2017

Last updated

Feb 23, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

NEW BEGINNINGS DRUG TREATMENT CENTER, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William Mucklow, PH.D.

Title

President

Phone

(304) 720-4444

Specialties & licenses 1

Addresses

Part of

New Beginnings Drug Treatment Center Inc

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1013456094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 MACCORKLE AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091331",
            "telephone_number": "304-720-4444",
            "fax_number": "646-839-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 MACCORKLE AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091331",
            "telephone_number": "304-720-4444",
            "fax_number": "646-839-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS DRUG TREATMENT CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW BEGINNINGS DRUG TREATMENT CENTER, INC.",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "MUCKLOW",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-720-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WV",
            "license": "2017-008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Renee Nesselrotte
• Lisa Nestor
• Neurology & Pain Center PLLC
• Neveah Health & Wellness Center, PLLC
• New Beginnings Drug Treatment Center Inc
• Alexis New
• Alicia New
• Norma New
• Kim Newbell
• James Edgar Newcomer

• Clinic/Center in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.