NPIMap

Organization Active NPI

Sublime Behavioral Health PLLC

  • Psychiatry Physician
  • Martinsburg, WV
National Provider Identifier
1386025765
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
23918 Issued in WV
Legal business name
SUBLIME BEHAVIORAL HEALTH PLLC
Practice address
124 1/2 S Queen St
Martinsburg, WV 25401-3316
Phone
(304) 579-4784
Fax
(304) 433-8359
NPI assigned
Jun 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Jennifer M. Albright
Title
Manager
Phone
(304) 579-4784

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X 23918 WV Primary
Addiction Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0802X 23918 WV

Addresses

Primary practice location

124 1/2 S Queen St
Martinsburg, WV 25401-3316

Mailing address

124 1/2 S Queen St
Martinsburg, WV 25401-3316
Phone (304) 579-4784

National Provider Directory

National Provider Directory

Locations

124 S Queen St
Martinsburg, WV 25401
Phone (304) 579-4784

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1386025765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 1/2 S QUEEN ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013316",
            "telephone_number": "304-579-4784",
            "fax_number": "304-433-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 1/2 S QUEEN ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013316",
            "telephone_number": "304-579-4784",
            "fax_number": "304-433-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBLIME BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "ALBRIGHT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "304-579-4784"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "23918",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "WV",
            "license": "23918",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 22, 2016; 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.