NPIMap

Organization Active NPI

Potomac Highlands Mental Health Guild

  • Community/Behavioral Health Agency
  • Petersburg, WV
National Provider Identifier
1538438528
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1036-8848 Issued in WV
Legal business name
POTOMAC HIGHLANDS MENTAL HEALTH GUILD
Practice address
6 Park St
Petersburg, WV 26847-1765
Phone
(304) 257-1155
NPI assigned
Dec 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
S. Craig Curtis
Title
Executive Director
Phone
(304) 257-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1036-8848 WV Primary

Addresses

Primary practice location

6 Park St
Petersburg, WV 26847-1765

Mailing address

6 Park St
Petersburg, WV 26847-1765
Phone (304) 257-1155

Other identifiers 3

IdentifierTypeStateIssuer
0005473001MedicaidWV
0005473002MedicaidWV
0005473000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Potomac Highlands Guild6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1538438528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PARK ST",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268471765",
            "telephone_number": "304-257-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PARK ST",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268471765",
            "telephone_number": "304-257-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC HIGHLANDS MENTAL HEALTH GUILD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-257-1155"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "1036-8848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005473001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005473002",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005473000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.