MARTIN LEWIS BOONE (NPI# 1538139902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538139902 |
| Entity Type | Individual |
| Full Name | MARTIN LEWIS BOONE |
| Credential | PHD |
| Practice Address |
9000 Coombs Farm Drive Suite 202 Morgantown WV 26508 |
| Practice Telephone | 3045540504 |
| Practice Fax Number | 3045540505 |
| Mailing Telephone | 3045540504 |
| Mailing Fax Number | 3045540505 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2015-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 616 | WV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 9201023000 | 05 | |
| WV | RAILROAD MEDICARE | 680012592 | 01 |
| Street Address |
9000 COOMBS FARM DRIVE SUITE 202 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396124160 | Neuropsychology Group of West Virginia, Pllc | Clinical Neuropsychologist | 9000 Coombs Farm Drive, Suite 202, Morgantown, WV 26508 | 2015-05-26 |
| 1386923480 | Jason Alexander Chong | Clinical Neuropsychologist | 9000 Coombs Farm Drive, Suite 202, Morgantown, WV 26508 | 2011-08-08 |
| 1861466187 | Marissa E Carey | Psychologist | 9000 Coombs Farm Drive, Suite 202, Morgantown, WV 26508 | 2006-02-14 |
| 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 |
| 1306242540 | Mountaineer Psychological Services | Community/Behavioral Health | 4000 Coombs Farm Drive, Bldg D Unit 102, Morgantown, WV 26508 | 2014-11-17 |
| 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 |
| Find all providers in zip 26508 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679959738 | Roy Harvey Tunick | Psychologist | 16 Regency Ct, Morgantown, WV 26505-3685 | 2015-07-30 |
| 1407101249 | Jeffrey Allen Hammond | Psychologist | 1286 Suncrest Towne Centre, Morgantown, WV 26505-0001 | 2012-07-18 |
| 1386854552 | Louise Cormier | Psychologist | 40 Antietam Dr, Morgantown, WV 26508-9005 | 2007-05-23 |
| 1770791295 | Peter Joseph Kahn | Psychologist | Carruth Center for Counseling, College Ave., Rm 303 Student Services Center Building, Morgantown, WV 26506-6422 | 2007-05-18 |
| 1861604050 | Kostka Associates Pllc | Psychologist | 1459 N Willey St, Morgantown, WV 26505-5236 | 2007-05-03 |
| 1790804854 | Thomasina Anne Hawkins | Psychologist | 1224b Pineview Dr, Morgantown, WV 26505-2714 | 2007-03-28 |
| 1457479875 | Cassie Lynn Hornbeck Maxwell | Psychologist | 3000 Coombs Farm Rd Ste 102, Morgantown, WV 26508-1190 | 2007-03-26 |
| 1255477899 | Linda Marie Sandel Pettit | Psychologist | 1445 Stewartstown Rd Ste 150, Morgantown, WV 26505-2949 | 2007-01-30 |
| 1619022084 | C&e Consulting Pllc | Psychologist | 630 Vista Pl, Morgantown, WV 26505-2467 | 2007-01-24 |
| 1154478667 | Kathleen J Kahn | Psychologist | 2567 University Ave, Suite 3025, Morgantown, WV 26505-4502 | 2007-01-05 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26508 |
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| 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.