Individual provider Active NPI

Angela Mae Via, MA, LIC PSYCHOLOGIST

  • Psychologist
  • Huntington, WV
National Provider Identifier
1043355332
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
855 Issued in WV
Practice address
1225 6TH Ave
Huntington, WV 25701-2311
Phone
(304) 526-9189
Fax
(304) 526-9989
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 855 WV Primary

Addresses

Primary practice location

1225 6TH Ave
Huntington, WV 25701-2311

Mailing address

1225 6TH Ave
Huntington, WV 25701-2311
Phone (304) 526-9189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
855WVMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
David J. Humphreys, MD, Psychiatrist Inc. Past Accepting new patients
New Hope Christian Counseling Ctr Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043355332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 6TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012311",
            "telephone_number": "304-526-9189",
            "fax_number": "304-526-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 6TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012311",
            "telephone_number": "304-526-9189",
            "fax_number": "304-526-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIA",
        "first_name": "ANGELA",
        "middle_name": "MAE",
        "name_prefix": "Miss",
        "credential": "MA, LIC PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.