Organization Active NPI

Huntington Behavioral Health Services, Inc.

  • Clinical Psychologist
  • Huntington, WV
National Provider Identifier
1891736724
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
362 Issued in WV
Legal business name
HUNTINGTON BEHAVIORAL HEALTH SERVICES, INC.
Practice address
1623 13TH Ave
Huntington, WV 25701-3845
Phone
(304) 526-2243
Fax
(304) 526-2220
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Kenneth J Devlin, M.A.NPI 1689751059
Title
President
Phone
(304) 733-2229

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 362 WV Primary

Addresses

Primary practice location

1623 13TH Ave
Huntington, WV 25701-3845

Mailing address

3440 Blue Sulphur GDNS
Ona, WV 25545-9757
Phone (304) 733-2229

Other identifiers 1

IdentifierTypeStateIssuer
0163332000MedicaidWV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1891736724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 BLUE SULPHUR GDNS",
            "city": "ONA",
            "state": "WV",
            "postal_code": "255459757",
            "telephone_number": "304-733-2229",
            "fax_number": "304-733-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 13TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013845",
            "telephone_number": "304-526-2243",
            "fax_number": "304-526-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON BEHAVIORAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "DEVLIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-733-2229",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0163332000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.