MOUNTAINEER PSYCHOLOGICAL SERVICES


Address: 4000 Coombs Farm Drive, Bldg D Unit 102, Morgantown, WV 26508
Phone: 3042411766

MOUNTAINEER PSYCHOLOGICAL SERVICES (NPI# 1306242540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306242540
Entity Type Organization
Organization Name MOUNTAINEER PSYCHOLOGICAL SERVICES
Other Organization Name MOUNTAINEER PSYCHOLOGICAL SERVICES PLLC
Practice Address 4000 Coombs Farm Drive
Bldg D Unit 102
Morgantown
WV 26508
Practice Telephone 3042411766
Practice Fax Number 3043812648
Mailing Telephone 3042411766
Mailing Fax Number 3043812648
Enumeration Date 2014-11-17
Last Update Date 2016-05-25
Authorized Official Name DR. JENNIFER GURIEL MYERS (PSYCHOLOGIST/OWNER)
Authorized Official Telephone 3042411766
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health 926 WV Agencies
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
926 WV Behavioral Health & Social Service Providers
N 103TF0200X Psychologist
Specialization: Forensic
926 WV Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
926 WV Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WV 3910006572 05

Other Provider/Organization Names

Other Name Type Code
Mountaineer Psychological Services PLLC Doing Business As Name - Organization

Office Location

Street Address 4000 COOMBS FARM DRIVE
BLDG D UNIT 102
City MORGANTOWN
State WV
Zip Code 26508

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750989026 Ruth Gibson Technician 4 Elpaso Ave, Morgantown, WV 26508 2020-10-09
1518565845 Anne Jiang Pharmacist 7000 Mid Atlantic Dr., Morgantown, WV 26508 2020-10-09
1396356283 Jessica Dawn Taylor Technician Lot 128 Healthy Heights Village, Morgantown, WV 26508 2020-08-13
1992297733 Jeffrey G Minchau Dds Ms Dentist 9000 Coombs Farm Dr, Ste 304, Morgantown, WV 26508 2018-06-06
1346796257 Gregory Ice Social Worker 1627 Grafton Rd, Morgantown, WV 26508 2016-08-31
1750722906 Tingler Rx Pharmacy 889 Venture Drive, Suite 2, Morgantown, WV 26508 2013-07-16
1881033983 Amy Rodgers Smith Music Therapist 714 Venture Drive #115, Morgantown, WV 26508 2013-06-21
1013250588 Walid Radwan Student in an Organized Health Care Education/Training Program 1121 Eagle Run Road, Morgantown, WV 26508 2013-04-02
1467727040 Sara Lyndsey Disimone Counselor 3000 Coombs Farm Road, Suite 102, Morgantown, WV 26508 2012-03-15
1194013227 Marc Anthony Phillips Pharmacist 1021 Laurelwood Drive, Morgantown, WV 26508 2011-07-11
Find all providers in zip 26508

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235508896 Robert Leonard Roff Psychologist 1404 Bradford Ln, Morgantown, WV 26508-4855 2015-09-24
1710255666 Daniel Gregory Long II Psychologist 1553 Stewartstown Road, Morgantown, WV 26505-2947 2011-12-07
1376780221 Jennifer Myers Psychologist 4000 Coombs Farm Rd, Bldg D Unit 012, Morgantown, WV 26508-1124 2009-01-14
1063574713 Janis Boury Psychologist 644 White Ave, Morgantown, WV 26507 2006-12-15
1881773612 Michael Arthur Todt Psychologist 870 Bloody Run Rd, Morgantown, WV 26508-4794 2006-11-03
1316957087 Diane Woodrum-leuthold Psychologist 1224 Pineview Dr # B, Morgantown, WV 26505-2714 2006-08-08
1538178116 Kathryn Wright Psychologist 1286 Suncrest Town Centre Dr, Morgantown, WV 26505-1828 2006-08-05
1205859006 George David Allen Psychologist 1062 Maple Dr Ste 1, Morgantown, WV 26505-0809 2006-07-25
1326076308 William J Fremouw Psychologist 1224 Pineview Dr Ste B, Morgantown, WV 26505-0708 2006-06-29
1366482671 Patricia Denunzio Kreider Psychologist 3024 North St, Morgantown, PA 19543-7726 2006-06-07
Find all providers in MORGANTOWN

Competitor

Search similar providers

City MORGANTOWN
Zip Code 26508

Improve Information

Please comment or provide details below to improve the information on MOUNTAINEER PSYCHOLOGICAL SERVICES.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches