NPI 1093362840 · live from the CMS NPI Registry
Devaraj Behavioral Healthcare PLLC
Psychiatry & Neurology, Psychiatry in Charleston, WV. National Provider Identifier 1093362840, active.
NPI record
| NPI | 1093362840 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 412 Tennessee Ave, Charleston, WV 25302 |
| Practice phone | 877-338-2725 |
| Enumerated | August 26, 2019 |
| Last updated | December 14, 2025 |
| Authorized official | Jacob Bounds, Clinical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health | 251S00000X | — |
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.