Alfred Ludwig Kasprowicz, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

640 Issued in WV

Practice address

930 Chestnut Ridge Rd
Morgantown, WV 26505-2807

Phone

(304) 216-7779

NPI assigned

Nov 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stillwater LLCGroup PAC ID 4587089305, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Stillwater LLC

  • Mental Health Counselor
  • Morgantown, WV
  • NPI 1124647193
  Medicare reassignment Care Compare group NPD
• Stillwater Christian Counseling PLLC

  • Psychologist
  • Kingwood, WV
  • NPI 1336215268
  NPD (past) Authorized official

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1225104177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N PRICE ST",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371118",
            "telephone_number": "304-216-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 CHESTNUT RIDGE RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052807",
            "telephone_number": "304-216-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPROWICZ",
        "first_name": "ALFRED",
        "middle_name": "LUDWIG",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2503-057",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164483000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emre Cagri Karabulut, MD
• Bengt Karlsson, M.D.
• Sarah Karpinski, PHARMD
• Muhammad Taaha Kashif
• Kathryn Rita Kasicky, M.D.
• Youseph Kassar, DDS
• Frida Kassim
• Lindsay Kasson, D.O.
• Katelyn A Katz
• Sakshi Kaul

• Clinical Psychologist in Morgantown, WV
• Providers in Morgantown, 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 Apr 15, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.