JILL C DEICAS (NPI# 1477724714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477724714 |
| Entity Type | Individual |
| Full Name | JILL C DEICAS |
| Credential | MS |
| Practice Address |
408 E B Saunders Way Clarksburg WV 26301-3712 |
| Mailing Address |
Po Box 1370 Clarksburg WV 26302-1370 |
| Practice Telephone | 3046246554 |
| Practice Fax Number | 3046245223 |
| Mailing Telephone | 3046246554 |
| Mailing Fax Number | 3046245223 |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
WV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0166452000 | 05 |
| Street Address |
408 E B SAUNDERS WAY |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720264377 | Harrison County Board of Education | Local Education Agency (LEA) | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2008-01-14 |
| 1417221482 | Susan Ann Miller | Psychologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2012-03-08 |
| 1538493325 | Kerri Lynn Turner | Speech-Language Pathologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2009-09-25 |
| 1306017322 | Kristen K Majewski | Psychologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2008-03-18 |
| 1417128778 | Jennifer Dawn Slider | Speech-Language Pathologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2008-03-14 |
| 1164693404 | Pamela Ashley Burgess | Speech-Language Pathologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2008-03-14 |
| 1851561708 | Jane D Simmerman | Speech-Language Pathologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2008-03-06 |
| 1023287463 | Debra Sue Henderson | Psychologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2008-02-28 |
| 1396914834 | Hilda L Kerns | Speech-Language Pathologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2008-02-28 |
| 1023287562 | Lynn B Dieringer | Physical Therapist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2008-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| Find all providers in zip 26301 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154690758 | Kelly M. Vallango | Psychologist | 48 Eb Saunders Way, Clarksburg, WV 26302-1370 | 2011-12-28 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1942816483 | Emily Nestor | Psychologist | 445 W Main St, Clarksburg, WV 26301-2843 | 2020-09-21 |
| 1548640725 | Jessica Chadwick | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301-3712 | 2015-06-03 |
| 1386070092 | Lee Ann Vecellio | Psychologist | 1201 N 15th St, Clarksburg, WV 26301-1989 | 2013-09-26 |
| 1417221482 | Susan Ann Miller | Psychologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2012-03-08 |
| 1316222011 | Andrew Joseph Woolwine | Psychologist | 1201 N 15th St, Clarksburg, WV 26301-1989 | 2011-10-14 |
| 1306017322 | Kristen K Majewski | Psychologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2008-03-18 |
| 1023287463 | Debra Sue Henderson | Psychologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2008-02-28 |
| 1578732012 | Debra Ann Davis | Psychologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2008-02-28 |
| Find all providers in CLARKSBURG | ||||
| City | CLARKSBURG |
| Zip Code | 26301 |
Please comment or provide details below to improve the information on JILL C DEICAS.
| 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.