Active NPI
Stephen Paul Fink, PSY.D.
- Psychologist
- Parkersburg, WV
National Provider Identifier
1083917512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7111
- Practice address
- 5228 Old Saint Marys Pike
Parkersburg, WV 26104-8557 - Phone
- (304) 464-5482
- NPI assigned
- Dec 6, 2010
- Last updated
- Apr 9, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 1006 | WV | |
| Psychologist | 103T00000X | 1006 | WV | |
| Psychologist | 103T00000X | 7111 | OH | Primary |
Addresses
Primary practice location
5228 Old Saint Marys Pike
Parkersburg, WV 26104-8557
Mailing address
5228 Old Saint Marys Pike
Parkersburg, WV 26104-8557
Phone (304) 464-5482
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7111 | OH | MD | Psychologist |
| 1006 | WV | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psimed Oasis, LLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397001600000",
"number": "1083917512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5228 OLD SAINT MARYS PIKE",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261048557",
"telephone_number": "304-464-5482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5228 OLD SAINT MARYS PIKE",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261048557",
"telephone_number": "304-464-5482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINK",
"first_name": "STEPHEN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-06",
"last_updated": "2014-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "WV",
"license": "1006",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WV",
"license": "1006",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "7111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.