Active NPI
Rhonda Lynn Pauley, M. A.
- Clinical Psychologist
- Charleston, WV
National Provider Identifier
1114200177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1033
- Practice address
- 1418 Maccorkle Ave SW Ste a
Charleston, WV 25303-1331 - Phone
- (304) 348-1269
- Fax
- (304) 348-1017
- NPI assigned
- Sep 26, 2011
- Sex
- Female
- 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 | 1033 | WV | Primary |
Addresses
Primary practice location
1418 Maccorkle Ave SW Ste a
Charleston, WV 25303-1331
Mailing address
1418 Maccorkle Ave SW Ste a
Charleston, WV 25303-1331
Phone (304) 348-1269
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1114200177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1418 MACCORKLE AVE SW STE A",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253031331",
"telephone_number": "304-348-1269",
"fax_number": "304-348-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 MACCORKLE AVE SW STE A",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253031331",
"telephone_number": "304-348-1269",
"fax_number": "304-348-1017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULEY",
"first_name": "RHONDA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "M. A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-26",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WV",
"license": "1033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.