NPIMap

Organization Active NPI

Highland Behavioral Health SVCS

  • Cognitive & Behavioral Psychologist
  • Danville, WV
National Provider Identifier
1740294610
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
21257 Issued in WV
Legal business name
HIGHLAND BEHAVIORAL HEALTH SVCS
Practice address
2 Human Service Complex
Danville, WV 25053-9678
Phone
(304) 369-1930
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kim Mundy
Title
Risk Management
Phone
(304) 926-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X 21257 WV Primary

Addresses

Primary practice location

2 Human Service Complex
Danville, WV 25053-9678

Mailing address

14 Presidio Pointe
Cross Lanes, WV 25313-1537
Phone (304) 369-1930

Other identifiers 1

IdentifierTypeStateIssuer
3004199000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Highland Behavioral Health Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740294610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PRESIDIO POINTE",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131537",
            "telephone_number": "304-369-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HUMAN SERVICE COMPLEX",
            "city": "DANVILLE",
            "state": "WV",
            "postal_code": "250539678",
            "telephone_number": "304-369-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND BEHAVIORAL HEALTH SVCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUNDY",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "RISK MANAGEMENT",
        "authorized_official_telephone_number": "304-926-1600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "WV",
            "license": "21257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3004199000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, WV

Sources for this page

  • 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.