NPIMap

Organization Active NPI

Beirne Psychiatric & Wellness LLC

  • Prescribing (Medical) Psychologist
  • Summersville, WV
National Provider Identifier
1073286332
Registry record updated Jul 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
Legal business name
BEIRNE PSYCHIATRIC & WELLNESS LLC
Practice address
693 Ashley LN
Summersville, WV 26651-1045
Phone
(304) 993-6333
Fax
(304) 688-9020
NPI assigned
Jul 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2021

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

Authorized official

Name
Debra Beirne, PMHNP-BC
Title
Owner
Phone
(304) 993-6333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X Primary

Addresses

Primary practice location

693 Ashley LN
Summersville, WV 26651-1045

Mailing address

693 Ashley LN
Summersville, WV 26651-1045
Phone (304) 993-6333

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627689600000",
    "number": "1073286332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 ASHLEY LN",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511045",
            "telephone_number": "304-993-6333",
            "fax_number": "304-688-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 ASHLEY LN",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511045",
            "telephone_number": "304-993-6333",
            "fax_number": "304-688-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEIRNE PSYCHIATRIC & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-31",
        "last_updated": "2021-07-31",
        "certification_date": "2021-07-31",
        "status": "A",
        "authorized_official_last_name": "BEIRNE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-993-6333",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summersville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2021; 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.