Pai Medical WV PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PAI MEDICAL WV PLLC

Practice address

3058C Charles Town Rd
Kearneysville, WV 25430-2669

Phone

(860) 322-6712

Fax

(860) 706-8151

NPI assigned

Jan 31, 2025

Last updated

Jan 31, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa King

Title

Director of Contracting & Credentia

Phone

(860) 322-6712

Specialties & licenses 3

Addresses

Tax ID family

Pai Medical WV PLLC2 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.

• Pai Medical WV PLLC

  • Psychiatry Physician
  • Kearneysville, WV
  • NPI 1972323061
  NPD tax ID

Locations

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1275346223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CENTERPOINT DR STE 105",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064577568",
            "fax_number": "860-706-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3058C CHARLES TOWN RD",
            "city": "KEARNEYSVILLE",
            "state": "WV",
            "postal_code": "254302669",
            "telephone_number": "860-322-6712",
            "fax_number": "860-706-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAI MEDICAL WV PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR OF CONTRACTING & CREDENTIA",
        "authorized_official_telephone_number": "860-322-6712"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Augusta Nieves, PMHNP-BC (APRN)
• Oasis Health and Wellness PLLC
• Justin A Offutt, D.C.
• Harrison Ogbewe, DPT
• Laurance Orr, MSW LGSW
• Pai Medical WV PLLC
• Jeremy Luke Pevahouse
• Angel Marie Prescott
• Stephanie Purdy
• Pursuecare WV PLLC

• Adult Mental Health Clinic/Center in Kearneysville, WV
• Providers in Kearneysville, WV by specialty
• Adult Mental Health Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.