Active NPI
Kelsey Ross, PHD
- School Psychologist
- Wayne, WV
National Provider Identifier
1285280081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- E9R143400202
- Practice address
- 212 N Court St
Wayne, WV 25570-1141 - Phone
- (304) 272-5116
- NPI assigned
- Aug 16, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | E9R143400202 | WV | Primary |
Addresses
Primary practice location
212 N Court St
Wayne, WV 25570-1141
Mailing address
175 Secret Hollow LN
Kenova, WV 25530-7624
Phone (304) 633-9570
Other names 1
- Kelsey Lewis
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E9R143400202 | WV | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565913600000",
"number": "1285280081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 SECRET HOLLOW LN",
"city": "KENOVA",
"state": "WV",
"postal_code": "255307624",
"telephone_number": "304-633-9570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 N COURT ST",
"city": "WAYNE",
"state": "WV",
"postal_code": "255701141",
"telephone_number": "304-272-5116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "KELSEY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-16",
"last_updated": "2019-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "WV",
"license": "E9R143400202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELSEY",
"last_name": "LEWIS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wayne, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.