Active NPI
Bryce Edwin Lefever, PH.D. ABPP
- Clinical Psychologist
- Charleston, WV
National Provider Identifier
1205800620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 081003119
- Practice address
- 5400 Big Tyler Rd # D
Charleston, WV 25313-1178 - Phone
- (717) 848-6116
- Fax
- (717) 852-7580
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 081003119 | VA | Primary |
Addresses
Primary practice location
5400 Big Tyler Rd # D
Charleston, WV 25313-1178
Mailing address
PO Box 1595
Middletown, CT 06457-8095
Phone (717) 272-5464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, PA, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1260 | WV | MD | Mental Health Counselor |
| 081003119 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meditelecare of Pennsylvania LLC | Clinical | Current | Accepting new patients |
| Meditelecare of West Virginia PLLC | Clinical | Current | Accepting new patients |
| Medoptions of Maine, LLC | Clinical | Current | Accepting new patients |
Locations
23 Cedar Ridge Dr
Skowhegan, ME 04976
Phone (207) 474-9686
7 Highwood St
Waterville, ME 04901
Phone (207) 873-0705
600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339
400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Charleston, WV
- NPI 1235631888
-
- Clinical Psychologist
- Harrisburg, PA
- NPI 1396351847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1205800620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1595",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064578095",
"telephone_number": "717-272-5464",
"fax_number": "717-273-1416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 BIG TYLER RD # D",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253131178",
"telephone_number": "717-848-6116",
"fax_number": "717-852-7580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFEVER",
"first_name": "BRYCE",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "PH.D. ABPP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "081003119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.