Organization Active NPI

Southwestern Virginia Mental Health Institute

  • Hospitalist Physician
  • Marion, VA
National Provider Identifier
1912964347
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE
Doing business as
Southwestern Virginia Mental Health Institute
Practice address
340 Bagley Circle
Marion, VA 24354-3102
Phone
(276) 783-1200
Fax
(276) 783-1242
NPI assigned
Apr 28, 2006
Last updated
Jul 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Cynthia McClaskey, PHD
Title
Facility Director
Phone
(276) 783-1201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

340 Bagley Circle
Marion, VA 24354-3102

Mailing address

340 Bagley Circle
Marion, VA 24354-3102
Phone (276) 783-1200

Other names 1

  • Southwestern Virginia Mental Health Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060324000094 VA Part B Supplier - Clinic/Group Practice 3577571041 Receives reassigned benefits from 33 practitioners
Practice locations: Marion, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Southwestern VA MTL HLT6 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.

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1912964347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BAGLEY CIRCLE",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243543102",
            "telephone_number": "276-783-1200",
            "fax_number": "276-783-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BAGLEY CIRCLE",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243543102",
            "telephone_number": "276-783-1200",
            "fax_number": "276-783-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "MCCLASKEY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "276-783-1201",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwestern Virginia Mental Health Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.