NPI 1275619017 · live from the CMS NPI Registry
Family Psychiatric Services PLLC
Psychiatry & Neurology, Psychiatry in Charleston, WV. National Provider Identifier 1275619017, active.
NPI record
| NPI | 1275619017 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 1573 Washington St E, Charleston, WV 25311 |
| Practice phone | 304-343-5554 |
| Enumerated | October 27, 2006 |
| Last updated | June 15, 2012 |
| Authorized official | Mark Casdorph, Owner/Doctor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 350 (WV) |
| Social Worker | 104100000X | 761 (WV) |
| Psychologist | 103T00000X | 766 (WV) |
| Counselor | 101Y00000X | 754 (WV) |
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | 1322 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.