Bahar Altaha, MD
Individual provider Active NPI Psychiatry Physician · Weston, WV
NPI 1972531630 · NPPES record last updated Nov 23, 2020
Key facts
- NPI
- 1972531630
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 21456 (WV)
- Practice address
- 936 Sharpe Hospital Rd
Weston, WV 26452-8550 - Phone
- (304) 269-1210
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Banner Hospital Based Physicians Arizona LLC
Practice addresses (Care Compare)
7575 E Earll Dr
Scottsdale, AZ 85251-6915
Phone (480) 448-7500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190415002176 | AZ | Practitioner - Psychiatry | 3274598180 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guidance Center Inc | Current |
Accepting new patients | |
| Guidance Center Inc | Current |
Accepting new patients | |
| Turnwell Mental Health of Arizona, PC | Psychiatry | Current |
Accepting new patients |
| Banner Hospital Based Physicians Arizona LLC | Current |
Accepting new patients | |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Banner Hospital Based Physicians Arizona LLC | Current |
Accepting new patients | |
| Changepoint Integrated Health | Past | Accepting new patients | |
| Banner Behavioral Health Hospital | Past | Accepting new patients |
Locations
2695 E Industrial Dr
Flagstaff, AZ 86004
Phone (928) 527-1899
2187 N Vickey St
Flagstaff, AZ 86004
Phone (928) 527-1899
6120 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 843-2900
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
8350 E Raintree Dr
Ste 130
Scottsdale, AZ 85260
Phone (480) 508-0882
7575 E Earll Dr
Scottsdale, AZ 85251
Phone (480) 448-7500
1492 S Mill Ave
Ste 206
Tempe, AZ 85281
Phone (480) 508-0882
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 21456 | WV | Yes |
Addresses
Primary practice location
936 Sharpe Hospital Rd
Weston, WV 26452-8550
Mailing address
8350 E Raintree Dr
Ste 130
Scottsdale, AZ 85260-2692
Phone (480) 508-0882
Other providers in Weston, WV
- Vinnie Ables
- Cindy Adkins
- Sally Alkire
- Majorie Allman
- Julia Allums
- Michelle Alton
- Kristy Lynn Ancell
- David Allen Anderson
- Dharian Anderson
- Diana Anderson
All providers in Weston, WV · Psychiatry Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.