NPIMap

Organization Active NPI

Appalachian Psychiatric Services PLLC

  • Psychiatry Physician
  • Beckley, WV
National Provider Identifier
1982056404
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2322-8649 Issued in WV
Legal business name
APPALACHIAN PSYCHIATRIC SERVICES PLLC
Practice address
1014 Johnstown Rd
Beckley, WV 25801-4940
Phone
(304) 252-4433
Fax
(304) 252-1703
NPI assigned
Jul 8, 2016
Last updated
Jul 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Authorized official

Name
Ahmed D Faheem, MDNPI 1649356866
Title
Managing Partner
Phone
(304) 252-4433

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2322-8649 WV
Mental Health Counselor 101YM0800X 2322-8649 WV
Clinical Psychologist 103TC0700X 2322-8649 WV
Psychiatry Physician 2084P0800X 2322-8649 WV Primary

Addresses

Primary practice location

1014 Johnstown Rd
Beckley, WV 25801-4940

Mailing address

PO Box 1128
Beckley, WV 25802-1128
Phone (304) 252-4433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160816000421 WV Part B Supplier - Clinic/Group Practice 7214221167 Receives reassigned benefits from 3 practitioners
Practice locations: Beckley, WV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1982056404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1128",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258021128",
            "telephone_number": "304-252-4433",
            "fax_number": "304-252-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 JOHNSTOWN RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014940",
            "telephone_number": "304-252-4433",
            "fax_number": "304-252-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "FAHEEM",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "304-252-4433",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2322-8649",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "2322-8649",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "2322-8649",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "2322-8649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.