NPIMap

Organization Active NPI

Healing Minds Clinic, PLLC

  • Clinical Psychologist
  • Bridgeport, WV
National Provider Identifier
1023370434
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1038 Issued in WV
Legal business name
HEALING MINDS CLINIC, PLLC
Practice address
65 Professional Place
Suite 101
Bridgeport, WV 26330
Phone
(304) 842-6463
Fax
(304) 842-8180
NPI assigned
Jun 12, 2012
Last updated
May 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Amy Nicole Hebb, PSY.D.NPI 1366729295
Title
Licensed Psychologist
Phone
(304) 842-6463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 1038 WV Primary

Addresses

Primary practice location

65 Professional Place
Suite 101
Bridgeport, WV 26330

Mailing address

65 Professional Place
Suite 101
Bridgeport, WV 26330
Phone (304) 842-6463

National Provider Directory

National Provider Directory

Locations

103 E Main St
Ste 2
Bridgeport, WV 26330
Phone (304) 842-6463

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1023370434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 PROFESSIONAL PLACE",
            "address_2": "SUITE 101",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "26330",
            "telephone_number": "304-842-6463",
            "fax_number": "304-842-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PROFESSIONAL PLACE",
            "address_2": "SUITE 101",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "26330",
            "telephone_number": "304-842-6463",
            "fax_number": "304-842-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING MINDS CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "HEBB",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "304-842-6463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "1038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.