Psychological Consultation and Assessment
Organization Active NPI Psychologist · Cross Lanes, WV
NPI 1295869840 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1295869840
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- PSYCHOLOGICAL CONSULTATION AND ASSESSMENT
- Practice address
- 202 Glass Dr
Cross Lanes, WV 25313-1319 - Phone
- (304) 776-7230
- Fax
- (304) 776-7247
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Richard Workman, MA
- Title
- Owner President Psychologist
- Phone
- (304) 776-7230
Practitioners 4
-
Kerri Ann Linton, MA
-
Linda O Workman, M.A.
-
Richard L Workman, M.A.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250423000962 | WV | Part B Supplier - Clinic/Group Practice | 5496270316 |
Receives reassigned benefits from 1 practitioner Practice locations: Cross Lanes, WV |
National Provider Directory
Locations
202 Glass Dr
Cross Lanes, WV 25313
Phone (304) 776-7230
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | Yes |
Addresses
Primary practice location
202 Glass Dr
Cross Lanes, WV 25313-1319
Mailing address
202 Glass Dr
Cross Lanes, WV 25313-1319
Phone (304) 776-7230
Other providers in Cross Lanes, WV
- Cathryn Poleway
- Erin Powell
- Caitlin Preece
- Courtney Preston
- Pro Careers, Inc
- Matthew Purdy
- Ishaneah Raimo
- Cynthia Raines
- Alexis Ramsey
- Jennifer A Ramsey
All providers in Cross Lanes, WV · Psychologist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.