Princeton Psychological LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PRINCETON PSYCHOLOGICAL LLC

Practice address

321 Rogers St
Princeton, WV 24740-3639

Phone

(304) 308-3819

NPI assigned

Aug 18, 2020

Organization subpart

No

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

Authorized official

Name

Mary Jo Cecil, MA

Title

Owner

Phone

(304) 308-3819

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1144832528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5509",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247405509",
            "telephone_number": "304-308-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 ROGERS ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403639",
            "telephone_number": "304-308-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON PSYCHOLOGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "CECIL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-308-3819",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063067882",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jason L Pritchett, PHARMD

• Clinical Psychologist in Princeton, WV
• Providers in Princeton, WV by specialty
• Clinical Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.