DR. TARA FAWN RAY (NPI# 1033152418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033152418 |
| Entity Type | Individual |
| Full Name | DR. TARA FAWN RAY |
| Other Name | DR. TARA FAWN ALFORD |
| Credential | DO |
| Practice Address |
400 Division St Suite 3 South Charleston WV 25309-1459 |
| Mailing Address |
Po Box 9189 South Charleston WV 25309-0189 |
| Practice Telephone | 3047677960 |
| Practice Fax Number | 3047677969 |
| Mailing Telephone | 3047677960 |
| Mailing Fax Number | 3047677969 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2012-05-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2117 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810002665 | 05 | |
| WV | TAX IDENTIFICATION | 208724900 | 01 |
| OH | MEDICAID | 2616995 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790949659 | Tara Leigh Ray | Occupational Therapist | 1001 N Grant St, Lebanon, IN 46052-1944 | 2008-07-10 |
| 1982751418 | Tara D Ray | Nurse Anesthetist, Certified Registered | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2007-01-05 |
| Street Address |
400 DIVISION ST SUITE 3 |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309-1459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447242557 | Abdul Karim Katrib | Specialist | 400 Division St, Suite 12, South Charleston, WV 25309-1459 | 2005-08-16 |
| 1750734661 | Ashley Ebersole Mellert | Physician Assistant | 400 Division St, Suite 6, South Charleston, WV 25309-1459 | 2016-07-14 |
| 1710183504 | Dr Tara F Ray Psychiatric Servcies, Pllc | Psychiatry & Neurology | 400 Division St, Suite 3, South Charleston, WV 25309-1459 | 2007-06-27 |
| 1639296577 | Salvador C. Portugal Md, Inc. | Otolaryngology | 400 Division St, Suite 9, South Charleston, WV 25309-1459 | 2007-03-24 |
| 1174696983 | Julie Anne Testman | Pharmacist | 400 Division St, Suite 10, South Charleston, WV 25309-1459 | 2006-11-17 |
| 1184682171 | Salvador C. Portugal | Otolaryngology | 400 Division St, Suite 9, South Charleston, WV 25309-1459 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093362840 | Devaraj Behavioral Healthcare Pllc | Psychiatry & Neurology | 1109 Jefferson Rd Ste C, South Charleston, WV 25309-8815 | 2019-08-26 |
| 1043572860 | Dhashaini Nadarajah | Psychiatry & Neurology | 500 Poplar St Ste 204, South Charleston, WV 25309 | 2012-06-08 |
| 1740302066 | Alexander Vladimirovich Otellin | Psychiatry & Neurology | 401 Division St Ste 307, South Charleston, WV 25309-1455 | 2007-04-06 |
| 1003902198 | Elma Zapanta Bernardo | Psychiatry & Neurology | 401 Division St Ste 203, South Charleston, WV 25309-1455 | 2006-10-05 |
| 1932210762 | Hussein E El-khatib | Psychiatry & Neurology | 401 Division St Ste 20425387, South Charleston, WV 25309-1455 | 2006-08-31 |
| 1265458590 | John Patrick Hutton | Psychiatry & Neurology | 218 D St, South Charleston, WV 25303-3104 | 2006-07-13 |
| 1972984979 | Margaret Leigh Meldrum | Psychiatry & Neurology | 500 Poplar St Ste 204, South Charleston, WV 25309-1472 | 2015-06-16 |
| 1679767982 | Amy Nickole Wehrle | Psychiatry & Neurology | 312 6th Ave Ste 2, South Charleston, WV 25303-1265 | 2007-08-29 |
| 1710183504 | Dr Tara F Ray Psychiatric Servcies, Pllc | Psychiatry & Neurology | 400 Division St, Suite 3, South Charleston, WV 25309-1459 | 2007-06-27 |
| 1275659096 | Russell Irvin Voltin | Psychiatry & Neurology | 312 6th Ave Ste 2, South Charleston, WV 25303-1265 | 2007-03-22 |
| Find all providers in SOUTH CHARLESTON | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
Please comment or provide details below to improve the information on DR. TARA FAWN RAY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.