CARRUTH CENTER-SSC (NPI# 1700166659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700166659 |
| Entity Type | Organization |
| Organization Name | CARRUTH CENTER-SSC |
| Practice Address |
700 College Avenue 3rd Floor Morgantown WV 26506-6422 |
| Mailing Address |
Po Box 780 Morgantown WV 26507-0780 |
| Practice Telephone | 3042934431 |
| Mailing Telephone | 3042937401 |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |
| Authorized Official Name | ANDREA RUMBLE (PROVIDER ENROLLMENT SPECIALISTQ) |
| Authorized Official Telephone | 3042935033 |
| Is Organization Subpart | Y |
| Parent Organization Name | WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
700 COLLEGE AVENUE 3RD FLOOR |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506-6422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215203690 | Shelley Virginia Savage | Psychologist | 700 College Avenue, West Virginia University, Morgantown, WV 26506-6422 | 2012-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| 1811533961 | Hongyan Wu | Nurse Practitioner | Neurology Clinic, Wvu Eye Institute, 1 Medical Center Drive, Morgantown, WV 26506 | 2019-11-25 |
| 1871054569 | Brandon Chase Neeley | Student in an Organized Health Care Education/Training Program | 1 Stadium Dr Fl 3 Eye Institute, Morgantown, WV 26506 | 2019-03-26 |
| 1588125223 | Temitope Michael Kehinde | Student in an Organized Health Care Education/Training Program | 64 Medical Center Drive 2305hscn, Morgantown, WV 26506 | 2019-03-26 |
| 1417412743 | West Virginia University Hospitals, Inc. | Substance Abuse Rehabilitation Facility | 751 Benefactor Drive, Morgantown, WV 26506 | 2019-01-31 |
| 1932603024 | Emma Bacharach | Student in an Organized Health Care Education/Training Program | J.w. Ruby Memorial Hospital, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-22 |
| 1982108270 | Qaisar Syed | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-21 |
| 1417451063 | Michael Savilla | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-20 |
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| Find all providers in zip 26506 | ||||
| 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 |
|---|---|---|---|---|
| 1710187356 | Edward Miltenberger | Psychiatry & Neurology | 1000 Mon Health Medical Park Dr Ste 1202, Morgantown, WV 26505-1143 | 2007-07-23 |
| 1811073448 | Patricia W Williams | Psychiatry & Neurology | 1193b Pineview Dr, Morgantown Mental Health Associates LLC, Morgantown, WV 26505 | 2006-10-27 |
| 1881627867 | Lisa Ann Rudolph-watson | Psychiatry & Neurology | Wvu Student Health Service, Rcb Hsc Box 9247, Morgantown, WV 26506-9247 | 2006-07-10 |
| 1831164961 | John R Vanin | Psychiatry & Neurology | 25 Village Park Dr, Morgantown, WV 26508-9431 | 2006-02-22 |
| 1003270745 | Yasha Rastgar | Psychiatry & Neurology | 1 Medical Center Drive, Box 9137, Morgantown, WV 26506 | 2016-04-08 |
| 1730576257 | Jeffrey Liubicich | Psychiatry & Neurology | 1 Medical Center Drive, Room 4601, Morgantown, WV 26506 | 2015-04-22 |
| 1578978854 | Francis M. Ysla | Psychiatry & Neurology | 1 Medical Center Drive, Room 4601, Morgantown, WV 26506 | 2014-06-25 |
| 1447663034 | Nevine Estaphan | Psychiatry & Neurology | 930 Chestnut Ridge Rd, Morgantown, WV 26505-2807 | 2014-06-11 |
| 1013336031 | Samira Khan | Psychiatry & Neurology | 930 Chestnut Ridge Rd, Morgantown, WV 26505-2807 | 2014-04-08 |
| 1083957534 | Aliana Michelle Abascal | Psychiatry & Neurology | 930 Chestnut Ridge Rd, Morgantown, WV 26505-2807 | 2013-04-03 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26506 |
Please comment or provide details below to improve the information on CARRUTH CENTER-SSC.
| 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.