John David Justice, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

19306 Issued in WV

Practice address

Route 10, Three Mile Curve
Logan, WV 25601

Phone

(304) 792-7130

Fax

(304) 792-7138

NPI assigned

Jul 13, 2006

Last updated

Dec 3, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Mildred Mitchell Bateman Hospital

  • Psychiatric Hospital
  • Huntington, WV
  • NPI 1528154481
  Medicare reassignment NPD
• Highland Behavioral Health Services, Inc

  dba Advance Healthcare@UC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charleston, WV
  • NPI 1760896740
  NPD (past)
• Highland Hospital Association

  • Psychiatric Hospital
  • Charleston, WV
  • NPI 1497706659
  NPD (past)
• Logan-Mingo Area Mental Health, Inc

  dba Mountain Laurel Integrated Healthcare

  • Federally Qualified Health Center (FQHC)
  • Logan, WV
  • NPI 1598396202
  NPD (past)
• Mario R Schwabe & Associates PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parkersburg, WV
  • NPI 1801974233
  NPD (past)
• Midtown Internal Medicine Group

  • Internal Medicine Physician
  • Sacramento, CA
  • NPI 1316018682
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1679599906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 176",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256010176",
            "telephone_number": "304-792-7130",
            "fax_number": "304-792-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 10, THREE MILE CURVE",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "25601",
            "telephone_number": "304-792-7130",
            "fax_number": "304-792-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "WV",
            "license": "19306",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "19306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Staci Johnson, ED.S., NCSP
• Jason Matthew Jones, M.ED, LPC
• Kaitlyn Sue Jones, M.ED
• Alexandria Jordan
• Christine Justice
• Joseph Lee Justice Jr., MSW, LGSW
• Merna Justice
• Stacy L Justice, FNP-BC
• John Robert Kangas, PR
• Brenda Kelly

• Psychiatry Physician in Logan, WV
• Providers in Logan, WV by specialty
• Psychiatry Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.