Individual provider Active NPI

Phyllis J Neer, PH.D., LPC, ALPS

  • Psychologist
  • Grafton, WV
National Provider Identifier
1265535207
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
952 Issued in WV
Practice address
500 Market St
Grafton, WV 26354-1184
Phone
(304) 265-0400
Fax
(304) 265-6419
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 952 WV Primary

Addresses

Primary practice location

500 Market St
Grafton, WV 26354-1184

Mailing address

500 Market St
Grafton, WV 26354-1184
Phone (304) 265-0400

Other identifiers 1

IdentifierTypeStateIssuer
001722043OtherWABCBS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080129000827 WV Practitioner - Clinical Psychologist 9133201106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

689 Kingwood Pike
Morgantown, WV 26508-3962
Phone (304) 276-2762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
952OHMDPeer Specialist
952WVMDMedical Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1265535207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MARKET ST",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541184",
            "telephone_number": "304-265-0400",
            "fax_number": "304-265-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARKET ST",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541184",
            "telephone_number": "304-265-0400",
            "fax_number": "304-265-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEER",
        "first_name": "PHYLLIS",
        "middle_name": "J",
        "credential": "PH.D., LPC, ALPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001722043",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, WV

Sources for this page

Verify at the official NPI Registry.