Organization Active NPI

The Center for Pediatric Neuropsychology & Behavioral Health, PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Huntington, WV
National Provider Identifier
1497906663
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
550 Issued in WV
Legal business name
THE CENTER FOR PEDIATRIC NEUROPSYCHOLOGY & BEHAVIORAL HEALTH, PLLC
Practice address
910 4TH Ave
Suite 302
Huntington, WV 25701-1437
Phone
(304) 412-1637
NPI assigned
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Dr. Thomas David Linz, PHD
Title
Member
Phone
(304) 412-1637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 550 WV Primary

Addresses

Primary practice location

910 4TH Ave
Suite 302
Huntington, WV 25701-1437

Mailing address

PO Box 2333
Huntington, WV 25724-2333
Phone (304) 412-1637

Other identifiers 1

IdentifierTypeStateIssuer
0163829000MedicaidWV

National Provider Directory

National Provider Directory

Locations

910 4th Ave
Ste 302
Huntington, WV 25701
Phone (304) 412-1637

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1497906663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2333",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257242333",
            "telephone_number": "304-412-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 4TH AVE",
            "address_2": "SUITE 302",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011437",
            "telephone_number": "304-412-1637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR PEDIATRIC NEUROPSYCHOLOGY & BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "LINZ",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "304-412-1637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WV",
            "license": "550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0163829000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.