Active NPI
Ernie L. Vecchio, PSYCHOLOGIST
- Clinical Psychologist
- Teays Valley, WV
National Provider Identifier
1093717399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 647
- Practice address
- 400 A Prestige Park
Teays Valley, WV 25569 - Phone
- (304) 561-8217
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 647 | WV | Primary |
Addresses
Primary practice location
400 A Prestige Park
Teays Valley, WV 25569
Mailing address
447 Poplar Fork Rd
Scott Depot, WV 25560-9788
Phone (304) 757-8133
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 647 | WV | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1093717399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "447 POPLAR FORK RD",
"city": "SCOTT DEPOT",
"state": "WV",
"postal_code": "255609788",
"telephone_number": "304-757-8133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 A PRESTIGE PARK",
"city": "TEAYS VALLEY",
"state": "WV",
"postal_code": "25569",
"telephone_number": "304-561-8217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VECCHIO",
"first_name": "ERNIE",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WV",
"license": "647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Teays Valley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.