NPIMap

Organization Active NPI

Monongalia County Child Advocacy Center, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Morgantown, WV
National Provider Identifier
1053725309
Registry record updated Jun 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
MONONGALIA COUNTY CHILD ADVOCACY CENTER, INC.
Practice address
909 Greenbag Rd
Morgantown, WV 26508-1504
Phone
(304) 598-0344
Fax
(304) 598-0558
NPI assigned
Jun 15, 2014
Last updated
Jun 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2014

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

Authorized official

Name
Dr. Laura Capage, PH.D.NPI 1356839161
Title
Executive Director
Phone
(304) 598-0344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

909 Greenbag Rd
Morgantown, WV 26508-1504

Mailing address

909 Greenbag Rd
Morgantown, WV 26508-1504
Phone (304) 598-0344

National Provider Directory

National Provider Directory
Tax ID family
Monongalia County Child Advocacy Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

909 Greenbag Rd
Morgantown, WV 26508
Phone (304) 598-0344

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1402790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402790400000",
    "number": "1053725309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 GREENBAG RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081504",
            "telephone_number": "304-598-0344",
            "fax_number": "304-598-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 GREENBAG RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081504",
            "telephone_number": "304-598-0344",
            "fax_number": "304-598-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONONGALIA COUNTY CHILD ADVOCACY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-15",
        "last_updated": "2014-06-15",
        "status": "A",
        "authorized_official_last_name": "CAPAGE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-598-0344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2014; 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.