NPIMap

Organization Active NPI

Diversified Assessment & Therapy Services

  • Community/Behavioral Health Agency
  • Huntington, WV
National Provider Identifier
1619241593
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SLP-1339 Issued in WV
Legal business name
DIVERSIFIED ASSESSMENT & THERAPY SERVICES
Practice address
4614 Waverly Rd
Huntington, WV 25704-1039
Phone
(304) 429-3287
NPI assigned
Feb 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Authorized official

Name
Dr. Sandra Kiser Griffith, PSY
Title
Executive Director
Phone
(304) 453-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SLP-1339 WV Primary

Addresses

Primary practice location

4614 Waverly Rd
Huntington, WV 25704-1039

Mailing address

1401 Chestnut St
Kenova, WV 25530-1235
Phone (304) 453-2800

Other identifiers 1

IdentifierTypeStateIssuer
3910000370MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Diversified Assessment Therapy Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1619241593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CHESTNUT ST",
            "city": "KENOVA",
            "state": "WV",
            "postal_code": "255301235",
            "telephone_number": "304-453-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 WAVERLY RD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257041039",
            "telephone_number": "304-429-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED ASSESSMENT & THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "KISER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-453-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "SLP-1339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3910000370",
            "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 Aug 30, 2019; 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.