Active NPI
Elissa Jane Hoffman, M.D.
- Psychiatry Physician
- Fairmont, WV
National Provider Identifier
1487778163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 17983
- Practice address
- 3 Crosswinds Dr
Youth Academy, LLC
Fairmont, WV 26554-9193 - Phone
- (304) 363-3341
- Fax
- (304) 363-3342
- NPI assigned
- Mar 19, 2007
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 17983 | WV | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 17983 | WV |
Addresses
Primary practice location
3 Crosswinds Dr
Youth Academy, LLC
Fairmont, WV 26554-9193
Mailing address
95 Marion St
Morgantown, WV 26505-5667
Phone (304) 284-8955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17983 | WV | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Past | Accepting new patients | |
| Youth Academy, LLC | Past | Accepting new patients | |
| Youth Academy, LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Crisis Support and Recovery Center
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Fairmont, WV
- NPI 1750508040
-
- Community/Behavioral Health Agency
- Fairmont, WV
- NPI 1891913935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1487778163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 MARION ST",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265055667",
"telephone_number": "304-284-8955",
"fax_number": "304-284-0059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CROSSWINDS DR",
"address_2": "YOUTH ACADEMY, LLC",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265549193",
"telephone_number": "304-363-3341",
"fax_number": "304-363-3342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "ELISSA",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WV",
"license": "17983",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "WV",
"license": "17983",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.