NPIMap

Organization Active NPI

Fremouw Sigley & Baker Psychological Associates PLLC

  • Clinical Psychologist
  • Morgantown, WV
National Provider Identifier
1073754339
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
FREMOUW SIGLEY & BAKER PSYCHOLOGICAL ASSOCIATES PLLC
Practice address
1445 Stewartstown Rd Ste 200
Morgantown, WV 26505-3868
Phone
(304) 598-2300
Fax
(304) 598-2307
NPI assigned
Mar 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Judy Hemmann
Title
Office Manager
Phone
(304) 598-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1445 Stewartstown Rd Ste 200
Morgantown, WV 26505-3868

Mailing address

1445 Stewartstown Rd Ste 200
Morgantown, WV 26505-3868
Phone (304) 598-2300

Other identifiers 2

IdentifierTypeStateIssuer
002092959OtherWVBLUE CROSS BLUE SHIELD
3810014533MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120516000078 WV Part B Supplier - Clinic/Group Practice 1153584826 Receives reassigned benefits from 6 practitioners
Practice locations: Kingwood, WV; Morgantown, WV

National Provider Directory

National Provider Directory

Locations

167 Plaza Ct
Kingwood, WV 26537
Phone 30459823004

1224 Pineview Dr
Ste B
Morgantown, WV 26505
Phone (304) 298-2300

1445 Stewartstown Rd
Ste 200
Morgantown, WV 26505
Phone (304) 598-2300

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1073754339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 STEWARTSTOWN RD STE 200",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053868",
            "telephone_number": "304-598-2300",
            "fax_number": "304-598-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 STEWARTSTOWN RD STE 200",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053868",
            "telephone_number": "304-598-2300",
            "fax_number": "304-598-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMOUW SIGLEY & BAKER PSYCHOLOGICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "HEMMANN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-598-2300"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "002092959",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810014533",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.