Family Psychiatric Services PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

1322 Issued in WV

Legal business name

FAMILY PSYCHIATRIC SERVICES PLLC

Practice address

1573 Washington St E
Charleston, WV 25311-2505

Phone

(304) 343-5554

Fax

(304) 343-8492

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Mark N Casdorph, MD

Title

Owner/Doctor

Phone

(304) 343-5554

Specialties & licenses 5

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1275619017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 WASHINGTON ST E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253112505",
            "telephone_number": "304-343-5554",
            "fax_number": "304-343-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 WASHINGTON ST E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253112505",
            "telephone_number": "304-343-5554",
            "fax_number": "304-343-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "CASDORPH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "304-343-5554",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WV",
            "license": "754",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WV",
            "license": "766",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "WV",
            "license": "350",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "WV",
            "license": "761",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "1322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005459",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shealyn B Falbo, MD
• Cyrus Falsafi, DO
• Francis Falsafi
• Family Counseling Connection
• Family Counseling Connections
• Tamer E Fandy, BCGP, RPH, PH.D.
• Adam Thomas Fannin, MSN, MHA, APRN-CNP
• James Fannin
• Lisa Fannin
• Kristina Fannon

• Psychiatry Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Psychiatry Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.