BOARD OF CHILD CARE, WV (NPI# 1366602039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366602039 |
| Entity Type | Organization |
| Organization Name | BOARD OF CHILD CARE, WV |
| Practice Address |
715 Brown Rd Martinsburg WV 25404-7282 |
| Practice Telephone | 3042673300 |
| Mailing Telephone | 3042673300 |
| Mailing Fax Number | 3042741876 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | MR. THOMAS CURCIO (CEO) |
| Authorized Official Telephone | 3042673300 |
| Is Organization Subpart | Y |
| Parent Organization Name | BOARD OF CHILD CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 06GRR043 | WV | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 9301006000 | 05 |
| Street Address |
715 BROWN RD |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25404-7282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366009359 | Jenna Marie Lupinetti | Counselor | 715 Brown Rd, Martinsburg, WV 25404-7282 | 2019-05-24 |
| 1336608744 | Amanda Koontz | Social Worker | 715 Brown Rd, Martinsburg, WV 25404-7282 | 2019-03-15 |
| 1881153294 | Meaghan Willis | Social Worker | 715 Brown Rd, Martinsburg, WV 25404-7282 | 2019-03-15 |
| 1851856033 | Juanita Alesia Brand | Counselor | 715 Brown Rd, Martinsburg, WV 25404-7282 | 2019-02-01 |
| 1568973238 | Barbara Jo Byers | Counselor | 715 Brown Rd, Martinsburg, WV 25404-7282 | 2017-10-20 |
| 1730624008 | Board of Child Care of The United Methodist Church | Community/Behavioral Health | 715 Brown Rd, Martinsburg, WV 25404-7282 | 2016-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385854 | Krystal Murdock | Technician | 171 Shrewsburg Dr, Martinsburg, WV 25404 | 2020-10-28 |
| 1225678246 | East Mountain Health Physicians, Inc. | Family Medicine | 120 Campus Drive, Suite 211, Martinsburg, WV 25404 | 2020-01-07 |
| 1275094575 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 115 Alkens Center Boulevard Plaza, Suite 17, Marinsburg, WV 25404 | 2019-03-28 |
| 1033626478 | Megan Mauricio | Physician Assistant | 61 Campus Drive, Suite 200, Martinsburg, WV 25404 | 2018-01-08 |
| 1043727787 | University Healthcare Physicians, Inc. | Clinic/Center | 61 Campus Dr, Martinsburg, WV 25404 | 2018-01-03 |
| 1669822821 | Pamela Elaine Collins | Counselor | 2883 Greensburg Rd., Martinsburg, WV 25404 | 2016-06-20 |
| 1134509870 | Gabrielle Helms | Dentist | 58 Warm Springs Ave., Martinsburg, WV 25404 | 2015-06-08 |
| 1750794509 | Colette Robinson | Technician | 222 1/2 Vicky Bullett Street, Martinsburg, WV 25404 | 2014-06-10 |
| 1730591116 | Vel Anne Schlachter | Family Medicine | 35 Aiken Center, Martinsburg, WV 25404 | 2014-05-20 |
| 1689954109 | Medexpress Urgent Care, Inc. - West Virginia | Emergency Medicine | 1355 Edwin Miller Boulevard, Suite A, Martinsburg, WV 25404 | 2011-08-29 |
| Find all providers in zip 25404 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609383298 | Genesis Youth Crisis Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 413 Chestnut Street, Parsons, WV 26287 | 2018-01-04 |
| 1447622618 | The Children's Home Society of West Virginia, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 142 Cherry St, Daniels, WV 25832-9695 | 2015-10-27 |
| 1649664855 | Yale Academy LLC | Residential Treatment Facility, Emotionally Disturbed Children | 7 Crosswinds Dr, Fairmont, WV 26554-9193 | 2015-03-25 |
| 1366846016 | Family Connections, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3305 Tent Church Road, Colliers, WV 26035 | 2014-10-09 |
| 1427470277 | Burlington United Methodist Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5162 Us 220 North, Moorefield, WV 26836 | 2014-01-14 |
| 1164776589 | Mike Allen Beswick | Residential Treatment Facility, Emotionally Disturbed Children | 34 Potomac Crossway, Lewisburg, WV 24901-8900 | 2012-11-07 |
| 1730320060 | Golden Girl, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 999 B Street, Ceredo, WV 25507-0876 | 2009-03-17 |
| 1295972248 | Yore Academy, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 7 Crosswind Drive, Fairmont, WV 26554 | 2009-01-13 |
| 1215199336 | Braley & Thompson, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 12 Clotine St, Saint Albans, WV 25177-2509 | 2008-06-30 |
| 1104086503 | Charles W. Cammack Children's Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 64 6th Ave W, Huntington, WV 25701-1751 | 2008-06-10 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSBURG |
| Zip Code | 25404 |
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| 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.