Bluefield Mental Health Center, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

41818 Issued in VA

Legal business name

BLUEFIELD MENTAL HEALTH CENTER, PC

Practice address

315 Courthouse Rd
Princeton, WV 24740-2421

Phone

(304) 952-8637

Fax

(866) 239-0601

NPI assigned

Jul 23, 2006

Last updated

Jun 25, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Parveen Riaz, CPA

Title

Sec/Treasurer

Phone

(304) 952-8637

Specialties & licenses 1

Addresses

Other identifiers 11

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.

• Tamara R McDaniel, PA-C

  • Physician Assistant
  • Winchester, VA
  • NPI 1154349801
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1487675336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 WINNBROOK DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240187894",
            "telephone_number": "304-952-8637",
            "fax_number": "866-239-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 COURTHOUSE RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402421",
            "telephone_number": "304-952-8637",
            "fax_number": "866-239-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEFIELD MENTAL HEALTH CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "RIAZ",
        "authorized_official_first_name": "PARVEEN",
        "authorized_official_title_or_position": "SEC/TREASURER",
        "authorized_official_telephone_number": "304-952-8637",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "41818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "242366000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7116934",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "103632",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "142001400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS WV DR.RIAZ",
            "identifier": "000507728",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116701000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "454028",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "036490",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "379529",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0201433000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS WV GROUP",
            "identifier": "001708620",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Fawn Blevins, FNP
• Ontashia Blizzard
• Blue Ridge Internal Medicine Inc.
• Blue Ridge Internal Medicine Inc.
• Bluefield Gastroenterology PLLC
• Bluestone Health Association, Inc. (Bluestone Primary Care)
• Bluestone Health Association, Inc.
• Bluestone Health Association, Inc. (Bluestone Medical Center)
• Bluestone Health Association, Inc. (Bluestone Health Association Behavioral Health and Recovery Services)
• Bluestone Health Association, Inc. (Southern Bluestone Health Center)

• Psychiatry Physician in Princeton, WV
• Providers in Princeton, 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 25, 2015; 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.