Active NPI
Ohio Valley Behavioral Health, PLLC
- Psychologist
- Vienna, WV
National Provider Identifier
1801959291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 179
- Legal business name
- OHIO VALLEY BEHAVIORAL HEALTH, PLLC
- Practice address
- 1100 9TH St
Suite C
Vienna, WV 26105-2176 - Phone
- (304) 580-0501
- Fax
- (304) 580-0503
- NPI assigned
- Dec 18, 2006
- 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
- Dr. Fred T Lee, PH.D.
- Title
- Ceo
- Phone
- (304) 580-0501
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 179 | WV | Primary |
Addresses
Primary practice location
1100 9TH St
Suite C
Vienna, WV 26105-2176
Mailing address
1100 9TH St
Suite C
Vienna, WV 26105-2176
Phone (304) 580-0501
Other names 1
- River Valley Behavioral Health, PLLC
National Provider Directory
National Provider DirectoryLocations
1100 9th St
Ste C
Vienna, WV 26105
Phone (304) 580-0501
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Parkersburg, WV
- NPI 1619972767
-
- Clinical Psychologist
- Marietta, OH
- NPI 1134126139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1801959291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 9TH ST",
"address_2": "SUITE C",
"city": "VIENNA",
"state": "WV",
"postal_code": "261052176",
"telephone_number": "304-580-0501",
"fax_number": "304-580-0503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 9TH ST",
"address_2": "SUITE C",
"city": "VIENNA",
"state": "WV",
"postal_code": "261052176",
"telephone_number": "304-580-0501",
"fax_number": "304-580-0503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHIO VALLEY BEHAVIORAL HEALTH, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "FRED",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "304-580-0501",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "WV",
"license": "179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "River Valley Behavioral Health, PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vienna, 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.