IndividualActive
Samuel Tissenbaum
NPI 1205565918 · Behavior Technician · Charleston, WV
Samuel Tissenbaum is a Behavior Technician provider in Charleston, WV (NPI 1205565918).
Provider details
- NPI number
- 1205565918
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- BACB790322 (WV)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
888 Oakwood Rd Ste 300
Charleston, WV 25314-2071
Phone: (681) 265-0999
Street-level locationGet directions
Mailing address
888 Oakwood Road
Charleston, WV 25314
Registry dates
- Enumerated
- 2022-06-08
- Last updated
- 2022-06-08
- Certified
- 2022-06-08
Frequently asked questions
- What is Samuel Tissenbaum's NPI number?
- Samuel Tissenbaum's National Provider Identifier (NPI) is 1205565918, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Tissenbaum's specialty?
- Samuel Tissenbaum is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Samuel Tissenbaum located?
- Samuel Tissenbaum's practice location on file with NPPES is 888 Oakwood Rd Ste 300, Charleston, WV 25314-2071.
- What is Samuel Tissenbaum's phone number?
- The practice phone number listed in the NPPES registry for Samuel Tissenbaum is (681) 265-0999.
- Is Samuel Tissenbaum's NPI active?
- Yes — Samuel Tissenbaum's NPI (1205565918) is active in the NPPES registry as of the last update on 2022-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.