Organization Active NPI

New Hope Telehealth Corporation

  • Psychiatry Physician
  • Williamstown, WV
National Provider Identifier
1730854407
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NEW HOPE TELEHEALTH CORPORATION
Practice address
362 E 4TH St
Williamstown, WV 26187-7947
Phone
(304) 991-8399
Fax
(304) 200-2057
NPI assigned
Aug 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Authorized official

Name
Valerie Keller, PA-CNPI 1437138286
Title
Owner
Phone
(304) 481-3894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

362 E 4TH St
Williamstown, WV 26187-7947

Mailing address

PO Box 14
Williamstown, WV 26187-0014
Phone (304) 481-3894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220629000023 WV Part B Supplier - Clinic/Group Practice 9133509730 Receives reassigned benefits from 7 practitioners
Practice locations: Williamstown, WV

National Provider Directory

National Provider Directory

Locations

417 Grand Park Dr
Ste 202
Parkersburg, WV 26105

Practitioners & affiliated clinicians

Practitioners 7

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": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1730854407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14",
            "city": "WILLIAMSTOWN",
            "state": "WV",
            "postal_code": "261870014",
            "telephone_number": "304-481-3894",
            "fax_number": "304-200-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 E 4TH ST",
            "city": "WILLIAMSTOWN",
            "state": "WV",
            "postal_code": "261877947",
            "telephone_number": "304-991-8399",
            "fax_number": "304-200-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HOPE TELEHEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-481-3894",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.