Provider Demographics
NPI:1902699945
Name:NEW RIVER PSYCHED, PLLC
Entity type:Organization
Organization Name:NEW RIVER PSYCHED, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:NEELY
Authorized Official - Middle Name:S
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:EDS
Authorized Official - Phone:304-890-9080
Mailing Address - Street 1:91 INGERSOLL DR
Mailing Address - Street 2:
Mailing Address - City:OAK HILL
Mailing Address - State:WV
Mailing Address - Zip Code:25901-9237
Mailing Address - Country:US
Mailing Address - Phone:304-890-9080
Mailing Address - Fax:
Practice Address - Street 1:91 INGERSOLL DR
Practice Address - Street 2:
Practice Address - City:OAK HILL
Practice Address - State:WV
Practice Address - Zip Code:25901-9237
Practice Address - Country:US
Practice Address - Phone:304-890-9080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty