DEVARAJ BEHAVIORAL HEALTHCARE PLLC
NPI 1093362840
Psychiatry & Neurology - Psychiatry in Charleston, WV

Active since August 26, 2019
412 TENNESSEE AVE, CHARLESTON, WV 25302(877) 338-2725(304) 715-3537 Get Directions Write a Review

NPPES record last updated: December 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 14, 2025, Jan 5, 2022, Aug 26, 2019 (3 updates tracked since 2019).

About Devaraj Behavioral Healthcare Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEVARAJ BEHAVIORAL HEALTHCARE PLLC (NPI 1093362840) is a healthcare organization registered as a psychiatry in Charleston, West Virginia and active in the NPI registry since August 2019. The organization lists Jacob M Bounds, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1093362840
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameDEVARAJ BEHAVIORAL HEALTHCARE PLLC
Location Address412 TENNESSEE AVECharleston, WV 25302-2338
Mailing Address412 Tennessee AveCharleston, WV 25302-2338 · (877) 338-2725 · Fax (304) 715-3537
Fax(304) 715-3537
Organization SubpartNo
Authorized OfficialJacob M BoundsClinical Director · (877) 338-2725
Enumeration DateAugust 26, 2019
Last NPPES UpdateDecember 14, 20253 updates tracked since enumeration
NPPES CertifiedDecember 14, 2025
✔ NPI 1093362840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
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.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
412 TENNESSEE AVE, Charleston, WV 25302

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Devaraj Behavioral Healthcare Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Devaraj Behavioral Healthcare PLLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1952974032
511 CENTRAL AVE
Charleston, WV 25302
(304) 340-1555
✔ PECOS✔ Accepts Medicare0.4 mi
Psychiatry
NPI 1003878984
1520 KANAWHA BLVD E
Charleston, WV 25311
(681) 265-9047
✔ PECOS1.7 mi
Clinical Social Worker
NPI 1154921799
1109 JEFFERSON RD STE C
South Charleston, WV 25309
(877) 338-2725
✔ PECOS✔ Accepts Medicare3.5 mi
Nurse Practitioner
NPI 1356889570
2550 CARTER AVE
Ashland, KY 41101
(606) 329-0727
✔ PECOS✔ Accepts Medicare54 mi
Nurse Practitioner
NPI 1548225881
617 23RD ST SUITE 445
Ashland, KY 41101
(606) 324-1070
✔ PECOS✔ Accepts Medicare54 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Devaraj Behavioral Healthcare PLLC's NPI number?

The NPI number for Devaraj Behavioral Healthcare PLLC is 1093362840. It was assigned to this organization in the NPPES registry on August 26, 2019.

Where is Devaraj Behavioral Healthcare PLLC located?

Devaraj Behavioral Healthcare PLLC is located at 412 Tennessee Ave, Charleston, WV 25302. The listed phone number is (877) 338-2725.

What is Devaraj Behavioral Healthcare PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Devaraj Behavioral Healthcare PLLC enrolled in Medicare?

Yes. Devaraj Behavioral Healthcare PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Devaraj Behavioral Healthcare PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Devaraj Behavioral Healthcare PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Clinical Social Worker (1) and Psychiatry (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Devaraj Behavioral Healthcare PLLC accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Devaraj Behavioral Healthcare PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Devaraj Behavioral Healthcare PLLC was last updated on December 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.