Appalachian Regional Behavioral Healthcare Inc
Organization Active NPI Psychiatry Physician · Linville, NC
NPI 1194302901 · NPPES record last updated Jan 15, 2025
Key facts
- NPI
- 1194302901
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE INC
- Practice address
- 432 Hospital Dr
Linville, NC 28646 - Phone
- (828) 262-4133
- Fax
- (828) 262-4103
- NPI assigned
- Mar 26, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE INC
Authorized official
- Name
- Mary E Long
- Title
- SVP Medical Staff Relations
- Phone
- (828) 262-4133
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 2
Practitioners 4
-
Rachel Feldman, LPCA
-
Jessica Lucero, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210610000752 | NC | Part B Supplier - Clinic/Group Practice | 6002216256 |
Receives reassigned benefits from 17 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Linville, NC |
National Provider Directory
- Tax ID family
- Appalachian Regional Behavioral Healthcare Inc
- Part of
- Appalachian Regional Behavioral Healthcare Inc
Locations
432 Hospital Dr
Newland, NC 28657
791 Jonestown Rd
Winston Salem, NC 27103
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | |||
| Psychiatry Physician |
2084P0800X | Yes | ||
| Nurse Practitioner |
363L00000X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
432 Hospital Dr
Linville, NC 28646
Mailing address
PO Box 2600
Boone, NC 28607-2600
Phone (828) 262-4133
Other names
- ARBH Providers
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Linville, NC
- Heidi Aldridge
- Appalachian Regional Behavioral Healthcare Inc
- Appalachian Regional Behavioral Healthcare Inc
- Appalachian Regional Medical Associates, Inc.
- Appalachian Regional Medical Associates, Inc.
- Appalachian Regional Medical Associates, Inc.
All providers in Linville, NC · Psychiatry Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.