NPIMap

Organization Active NPI

Eastern Panhandle Mental Health Inc. (Csedw)

Doing business as EastRidge Health Systems

  • Community/Behavioral Health Agency
  • Martinsburg, WV
National Provider Identifier
1376335430
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EASTERN PANHANDLE MENTAL HEALTH INC. (CSEDW)
Doing business as
EastRidge Health Systems
Practice address
235 S Water St
Martinsburg, WV 25401-4241
Phone
(304) 263-8954
Fax
(304) 264-0763
NPI assigned
May 22, 2025
Last updated
Feb 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Amanda GorhamNPI 1366271702
Title
Senior Compliance Officer
Phone
(304) 263-8954

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

235 S Water St
Martinsburg, WV 25401-4241

Mailing address

235 S Water St
Martinsburg, WV 25401-4241
Phone (304) 263-8954

Other names 1

  • EastRidge Health Systems Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eastern Panhandle Mental Health Center Waiver10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the 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, 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": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1376335430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S WATER ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014241",
            "telephone_number": "304-263-8954",
            "fax_number": "304-264-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S WATER ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014241",
            "telephone_number": "304-263-8954",
            "fax_number": "304-264-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PANHANDLE MENTAL HEALTH INC. (CSEDW)",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "GORHAM",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "SENIOR COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "304-263-8954"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EastRidge Health Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.