NPIMap

Organization Active NPI

MBH Highland, LLC

  • Psychiatry Physician
  • Charleston, WV
National Provider Identifier
1720506173
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MBH HIGHLAND, LLC
Practice address
300 56TH St SE
Charleston, WV 25304-2308
Phone
(304) 926-1669
NPI assigned
Sep 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Authorized official

Name
Cynthia Persily
Title
Ceo
Phone
(304) 348-1421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

300 56TH St SE
Charleston, WV 25304-2308

Mailing address

PO Box 4107
Charleston, WV 25364-4107
Phone (304) 926-1600

National Provider Directory

National Provider Directory

Locations

300 56th St SE
Ste A
Charleston, WV 25304
Phone (304) 926-1600

Practitioners & affiliated clinicians

Practitioners 4

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": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1720506173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4107",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253644107",
            "telephone_number": "304-926-1600",
            "fax_number": "304-926-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 56TH ST SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042308",
            "telephone_number": "304-926-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBH HIGHLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "PERSILY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-348-1421"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.