US Dept of Vetarns Affairs

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

DP00454754 Issued in WV

Legal business name

US DEPT OF VETARNS AFFAIRS

Practice address

1206 Chapline St
Wheeling, WV 26003-3317

Phone

(304) 232-0587

Fax

(304) 232-1031

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John William Looney, MSW

Title

Supervising Social Worker

Phone

(304) 232-0587

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730382060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 CHAPLINE ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033317",
            "telephone_number": "304-232-0587",
            "fax_number": "304-232-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 CHAPLINE ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033317",
            "telephone_number": "304-232-0587",
            "fax_number": "304-232-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US DEPT OF VETARNS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOONEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "SUPERVISING  SOCIAL  WORKER",
        "authorized_official_telephone_number": "304-232-0587",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "WV",
            "license": "DP00454754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "DP00454754",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCD",
            "identifier": "10505",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric Hospital in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Psychiatric Hospital in West Virginia

• 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.