| Worthington Behavioral Health, Inc | |
|
3194 Core Rd Parkersburg WV 26104-1556 | |
| (304) 485-5185 | |
| (304) 485-0051 |
| Full Name | Worthington Behavioral Health, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3194 Core Rd, Parkersburg, West Virginia |
| Authorized Official Name and Position | Erik Sams (CEO) |
| Authorized Official Contact | 3044855185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Worthington Behavioral Health, Inc 3194 Core Rd Parkersburg WV 26104-1556 Ph: (304) 485-5185 | Worthington Behavioral Health, Inc 3194 Core Rd Parkersburg WV 26104-1556 Ph: (304) 485-5185 |
| NPI Number | 1366178022 |
|---|---|
| Provider Enumeration Date | 07/26/2022 |
| Last Update Date | 10/18/2022 |
| Certification Date | 10/18/2022 |
| Medicare PECOS PAC ID | 3971979659 |
|---|---|
| Medicare Enrollment ID | O20221020002467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366178022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Fred T Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619972767 PECOS PAC ID: 4789588625 Enrollment ID: I20031121000887 |
| Provider Name | Ashley Collins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457747933 PECOS PAC ID: 1254671191 Enrollment ID: I20190313000207 |
| Provider Name | Erin Nicole Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902441231 PECOS PAC ID: 2769816461 Enrollment ID: I20200106002878 |
| Provider Name | Tracy Kay Morris |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1669644407 PECOS PAC ID: 5092083659 Enrollment ID: I20200130003233 |
| Provider Name | Lyndsay Megan Wickline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659901817 PECOS PAC ID: 0840617981 Enrollment ID: I20200903001008 |
| Provider Name | Maria Satterfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811577539 PECOS PAC ID: 1153739479 Enrollment ID: I20210426001007 |
| Provider Name | Summer E Devol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326701251 PECOS PAC ID: 8820488463 Enrollment ID: I20211214000989 |
| Provider Name | Angel Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750953964 PECOS PAC ID: 4981085305 Enrollment ID: I20220718000700 |
| Provider Name | Victoria Erin Spurr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881326775 PECOS PAC ID: 0648654913 Enrollment ID: I20220906001280 |
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