Active NPI
Jennifer L Marshall, PH.D.
- Clinical Psychologist
- Martinsburg, WV
National Provider Identifier
1124287040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS019898
- Practice address
- 510 Butler Ave
Martinsburg, WV 25405-9990 - Phone
- (304) 263-0811
- Fax
- (304) 262-1417
- NPI assigned
- Jun 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | PS019898 | PA | Primary |
Addresses
Primary practice location
510 Butler Ave
Martinsburg, WV 25405-9990
Mailing address
61 Roycroft Ave
Pittsburgh, PA 15228-1806
Phone (571) 243-7987
Other practice location 1
61 Roycroft Ave
Pittsburgh, PA 15228-1806
Phone (571) 243-7987
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS019898 | Other | PA | PA BOARD OF PSYCHOLOGY |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS019898 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1124287040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 ROYCROFT AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152281806",
"telephone_number": "571-243-7987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 BUTLER AVE",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254059990",
"telephone_number": "304-263-0811",
"fax_number": "304-262-1417"
}
],
"practiceLocations": [
{
"address_1": "61 Roycroft Ave",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152281806",
"country_code": "US",
"telephone_number": "571-243-7987",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARSHALL",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-05",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS019898",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BOARD OF PSYCHOLOGY",
"identifier": "PS019898",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.