Organization Active NPI

New Hope Psychiatric Associates, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Princeton, WV
National Provider Identifier
1669696589
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
WV16821 Issued in WV
Legal business name
NEW HOPE PSYCHIATRIC ASSOCIATES, PC
Practice address
160 Undercliff Ter
Princeton, WV 24740-2174
Phone
(304) 425-6110
Fax
(304) 487-6199
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nusrath Hasan, MD
Title
Physician
Phone
(304) 425-6110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X WV16821 WV Primary

Addresses

Primary practice location

160 Undercliff Ter
Princeton, WV 24740-2174

Mailing address

160 Undercliff Ter
Princeton, WV 24740-2174
Phone (304) 425-6110

Other identifiers 1

IdentifierTypeStateIssuer
0115192000MedicaidWV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669696589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 UNDERCLIFF TER",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402174",
            "telephone_number": "304-425-6110",
            "fax_number": "304-487-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 UNDERCLIFF TER",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402174",
            "telephone_number": "304-425-6110",
            "fax_number": "304-487-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HOPE PSYCHIATRIC ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "NUSRATH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "304-425-6110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WV",
            "license": "WV16821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115192000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.