Active NPI
Highland Clarksburg Hospital Inc.
- Psychiatry Physician
- Clarksburg, WV
National Provider Identifier
1710317276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- HIGHLAND CLARKSBURG HOSPITAL INC.
- Practice address
- 3 Hospital PLZ
Clarksburg, WV 26301-9316 - Phone
- (304) 969-3100
- NPI assigned
- Nov 20, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shelly Giaquinto
- Title
- Controller
- Phone
- (304) 969-3100
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary | ||
| Psychiatric Hospital | 283Q00000X | WV | ||
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
3 Hospital PLZ
Clarksburg, WV 26301-9316
Mailing address
3 Hospital PLZ
Clarksburg, WV 26301-9316
Phone (304) 969-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710317276 | Medicaid | WV |
National Provider Directory
National Provider Directory- Tax ID family
- Highland-Clarksburg Hospital
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric Hospital
- Clarksburg, WV
- NPI 1508537135
-
- Psychiatry Physician
- Clarksburg, WV
- NPI 1649941279
-
- Substance Abuse Rehabilitation Facility
- Clarksburg, WV
- NPI 1861973547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402012800000",
"number": "1710317276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 HOSPITAL PLZ",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "263019316",
"telephone_number": "304-969-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 HOSPITAL PLZ",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "263019316",
"telephone_number": "304-969-3100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLAND CLARKSBURG HOSPITAL INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-20",
"last_updated": "2014-06-06",
"status": "A",
"authorized_official_last_name": "GIAQUINTO",
"authorized_official_first_name": "SHELLY",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "304-969-3100"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "WV",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1710317276",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.