Organization Active NPI

Neer Psychological Services

  • Psychologist
  • Morgantown, WV
National Provider Identifier
1174860654
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
NEER PSYCHOLOGICAL SERVICES
Practice address
709 Beechurst Ave
Suite 9
Morgantown, WV 26505-4689
Phone
(304) 290-0923
NPI assigned
Jan 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Authorized official

Name
Phyllis J. Neer, PHDNPI 1265535207
Title
Owner
Phone
(304) 290-0923

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

709 Beechurst Ave
Suite 9
Morgantown, WV 26505-4689

Mailing address

709 Beechurst Ave
Suite 9
Morgantown, WV 26505-4689
Phone (304) 290-0923

Other names 1

  • Phyllis Neer Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130509000080 WV Part B Supplier - Clinic/Group Practice 7719124809 Receives reassigned benefits from 1 practitioner
Practice locations: Morgantown, WV

National Provider Directory

National Provider Directory

Locations

709 Beechurst Ave
Ste 9
Morgantown, WV 26505
Phone (304) 265-7092

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1174860654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 BEECHURST AVE",
            "address_2": "SUITE 9",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265054689",
            "telephone_number": "304-290-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 BEECHURST AVE",
            "address_2": "SUITE 9",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265054689",
            "telephone_number": "304-290-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEER PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "NEER",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-290-0923",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phyllis Neer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.