Panhandle Psychological Center, P.L.L.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1020 Issued in WV

Legal business name

PANHANDLE PSYCHOLOGICAL CENTER, P.L.L.C.

Practice address

93 Crimson Cir
Suite 11
Martinsburg, WV 25403-6397

Phone

(304) 886-5706

NPI assigned

Sep 19, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Emily Kristen Osterman, M.S.

Title

Psychologist/Counselor

Phone

(304) 886-5706

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1184050304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2567",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254022567",
            "telephone_number": "304-886-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 CRIMSON CIR",
            "address_2": "SUITE 11",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254036397",
            "telephone_number": "304-886-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE PSYCHOLOGICAL CENTER, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "OSTERMAN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "KRISTEN",
        "authorized_official_title_or_position": "PSYCHOLOGIST/COUNSELOR",
        "authorized_official_telephone_number": "304-886-5706",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "1895",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4395",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "1020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810021052",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Panhandle Home Health Inc
• Panhandle Medical Assoc PLLC
• Panhandle Medicine PLLC
• Panhandle Neurology Center, Inc.
• Panhandle Podiatry PLLC
• Panhandle Sleep Medicine, PLLC
• Monica Paniagua-Ramirez
• Ruza Papeskov
• Parasimple LLC
• Larry H Pardue, M.D.

• Clinical Psychologist in Martinsburg, WV
• Providers in Martinsburg, 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 Sep 19, 2013; 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.