Vickie L. West, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

86-20P Issued in AR

Practice address

179 N Church Ave Ste 201
Fayetteville, AR 72701-5267

Phone

(479) 521-4909

NPI assigned

Jan 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dr. Vickie L West Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1174676142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727020297",
            "telephone_number": "479-521-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 N CHURCH AVE STE 201",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015267",
            "telephone_number": "479-521-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "VICKIE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-20",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "86-20P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "59194",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE PROVIDER",
            "identifier": "50286000000",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "029116",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKIE",
            "last_name": "WEST",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "CLINICALPSYCHOLOGIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Deborah S West, CRNA
• Desa Rae Darnell West, APRN
• Kent V West, MHPP
• Shannon West, RN
• Shannon S West, LPC
• Teresa Westmoreland, RD
• Barry Keith Wetsell, D.O.
• Mari Elizabeth Wetzel
• Lynette Booth Wheeler, OTR
• Suson Swift Wheeler, LCSW

• Clinical Psychologist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Clinical Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.