NPIMap

Organization Active NPI

Children's Therapy Clinic Inc

  • Voluntary or Charitable Agency
  • Charleston, WV
National Provider Identifier
1336477835
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
CHILDREN'S THERAPY CLINIC INC
Practice address
113 Lakeview Dr
Charleston, WV 25313-1467
Phone
(304) 342-9515
Fax
(304) 342-9414
NPI assigned
Nov 23, 2009
Last updated
Nov 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Valicia Leary
Title
Executive Director
Phone
(304) 342-9515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU Primary

Addresses

Primary practice location

113 Lakeview Dr
Charleston, WV 25313-1467

Mailing address

PO Box 2707
Charleston, WV 25330-2707
Phone (304) 342-9515

National Provider Directory

National Provider Directory

Locations

113 Lakeview Dr
Charleston, WV 25313
Phone (304) 342-9515

Practitioners & affiliated clinicians

Practitioners 6

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": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1336477835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2707",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253302707",
            "telephone_number": "304-342-9515",
            "fax_number": "304-342-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LAKEVIEW DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253131467",
            "telephone_number": "304-342-9515",
            "fax_number": "304-342-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S THERAPY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "LEARY",
        "authorized_official_first_name": "VALICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-342-9515"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.