Individual provider Active NPI

Shelley Virginia Savage, PSYD

  • Clinical Psychologist
  • Morgantown, WV
National Provider Identifier
1215203690
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
998 Issued in WV
Practice address
700 College Avenue
West Virginia University
Morgantown, WV 26506-6422
Phone
(304) 293-4431
Fax
(304) 293-3705
NPI assigned
Mar 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 998 WV Primary

Addresses

Primary practice location

700 College Avenue
West Virginia University
Morgantown, WV 26506-6422

Mailing address

700 College Avenue
P.O. Box 6422
Morgantown, WV 26505-6422
Phone (304) 293-4431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1215203690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 COLLEGE AVENUE",
            "address_2": "P.O. BOX 6422",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265056422",
            "telephone_number": "304-293-4431",
            "fax_number": "304-293-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 COLLEGE AVENUE",
            "address_2": "WEST VIRGINIA UNIVERSITY",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265066422",
            "telephone_number": "304-293-4431",
            "fax_number": "304-293-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "SHELLEY",
        "middle_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 29, 2012; 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.