Organization Active NPI

Cardinal Psychological Services, L.L.C.

  • Psychologist
  • Bluefield, WV
National Provider Identifier
1285794032
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
193 Issued in WV
Legal business name
CARDINAL PSYCHOLOGICAL SERVICES, L.L.C.
Practice address
500 Bland St
Bluefield Arts Building
Bluefield, WV 24701
Phone
(304) 323-3511
Fax
(304) 324-0827
NPI assigned
Dec 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Leonard Andrew Steward Jr., PH.D.
Title
Director
Phone
(304) 323-3511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 193 WV Primary

Addresses

Primary practice location

500 Bland St
Bluefield Arts Building
Bluefield, WV 24701

Mailing address

500 Bland St
Bluefield Arts Building
Bluefield, WV 24701
Phone (304) 323-3511

Other identifiers 1

IdentifierTypeStateIssuer
0240125000MedicaidWV

National Provider Directory

National Provider Directory

Locations

500 Bland St
Bluefield, WV 24701
Phone (304) 323-3511

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285794032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BLAND ST",
            "address_2": "BLUEFIELD ARTS BUILDING",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "24701",
            "telephone_number": "304-323-3511",
            "fax_number": "304-324-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BLAND ST",
            "address_2": "BLUEFIELD ARTS BUILDING",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "24701",
            "telephone_number": "304-323-3511",
            "fax_number": "304-324-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL PSYCHOLOGICAL SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEWARD",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-323-3511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WV",
            "license": "193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0240125000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.