Provider Demographics
NPI:1962478362
Name:THE MENTAL HEALTH FUND INC
Entity Type:Organization
Organization Name:THE MENTAL HEALTH FUND INC
Other - Org Name:CATAWBA VALLEY BEHAVIORAL HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:WATERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-695-5901
Mailing Address - Street 1:327 1ST AVE NW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-6122
Mailing Address - Country:US
Mailing Address - Phone:828-695-5900
Mailing Address - Fax:828-695-4256
Practice Address - Street 1:327 1ST AVE NW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-6122
Practice Address - Country:US
Practice Address - Phone:828-695-5900
Practice Address - Fax:828-695-4256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-24
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NC101YM0800X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
016P3OtherBCBS INSURANCE
1015590OtherCIGNA INSURANCE
NC6005342Medicaid
797098000OtherMAGELLAN INSURANCE
797098000OtherMAGELLAN INSURANCE
=========OtherSENTRA INSURANCE
NC=========OtherMEDCOST
016P3OtherBCBS INSURANCE
=========OtherCORPHEALTH INSURANCE
NC2341608Medicare PIN
=========OtherSENTRA INSURANCE
NC=========OtherPRIMARY PHYSICIANS CARE