Active NPI
Park Valley Behavioral Health Care, PLLC
- Psychiatry Physician
- Wheeling, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 16918
- Legal business name
- PARK VALLEY BEHAVIORAL HEALTH CARE, PLLC
- Practice address
- 32 20TH St Ste 500
Wheeling, WV 26003-3747 - Phone
- (304) 218-2023
- Fax
- (304) 218-2026
- NPI assigned
- Jun 27, 2005
- Last updated
- Mar 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alfredo A Aguirre, M.D.
- Title
- Owner
- Phone
- (304) 218-2023
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 16918 | WV | Primary |
Addresses
Primary practice location
32 20TH St Ste 500
Wheeling, WV 26003-3747
Mailing address
32 20TH St Ste 500
Wheeling, WV 26003-3747
Phone (304) 218-2023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0204413000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D2070902 | Park Valley Behavioral Health Care | Certificate of waiver | Dec 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
2000 Eoff St
#704
Wheeling, WV 26003
Phone (304) 234-8596
2000 Eoff St
Ste 704
Wheeling, WV 26003
Phone (304) 234-8596
32 20th St
Ste 500
Wheeling, WV 26003
Phone (304) 218-2023
91 Zane St
Wheeling, WV 26003
Phone (304) 243-0366
Practitioners & affiliated clinicians
Practitioners 20
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.
-
- Psychiatry Physician
- Wheeling, WV
- NPI 1841296654
-
- Physician Assistant
- Wheeling, WV
- NPI 1487965737
-
- Physician Assistant
- Wheeling, WV
- NPI 1265076756
-
- Social Worker
- Wheeling, WV
- NPI 1285881342
-
- Mental Health Counselor
- Wheeling, WV
- NPI 1447575030
-
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Wheeling, WV
- NPI 1821809385
-
- Social Worker
- Wheeling, WV
- NPI 1659904977
-
- Addiction (Substance Use Disorder) Counselor
- Wheeling, WV
- NPI 1790448603
-
- Professional Counselor
- Wheeling, WV
- NPI 1104375088
-
- Social Worker
- Wheeling, WV
- NPI 1992253819
-
- Social Worker
- Wheeling, WV
- NPI 1902219678
-
- Social Worker
- Wheeling, WV
- NPI 1609179100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616457600000",
"number": "1457357261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 20TH ST STE 500",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033747",
"telephone_number": "304-218-2023",
"fax_number": "304-218-2026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 20TH ST STE 500",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033747",
"telephone_number": "304-218-2023",
"fax_number": "304-218-2026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK VALLEY BEHAVIORAL HEALTH CARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-27",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A",
"authorized_official_last_name": "AGUIRRE",
"authorized_official_first_name": "ALFREDO",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-218-2023",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WV",
"license": "16918",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0204413000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.