NPIMap

Organization Active NPI

Eastern Psychological Services, Inc.

  • Clinical Psychologist
  • Romney, WV
National Provider Identifier
1326009580
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
713 Issued in WV
Legal business name
EASTERN PSYCHOLOGICAL SERVICES, INC.
Practice address
278 N High St
Suite 1
Romney, WV 26757-1415
Phone
(304) 822-3429
Fax
(304) 822-7225
NPI assigned
Mar 29, 2006
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
Mrs. Sheri Ellen Coleman, M.A.
Title
President/Psychologist
Phone
(304) 822-3429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 713 WV Primary

Addresses

Primary practice location

278 N High St
Suite 1
Romney, WV 26757-1415

Mailing address

278 N High St
P.O. Box 1830
Romney, WV 26757-1415
Phone (304) 822-3429

Other identifiers 2

IdentifierTypeStateIssuer
0000102000MedicaidWV
0201722000MedicaidWV

Other names 1

  • Eastern Psychological Services of West Virginia, PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

278 N High St
#1
Romney, WV 26757
Phone (304) 822-3429

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326009580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 N HIGH ST",
            "address_2": "P.O. BOX 1830",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267571415",
            "telephone_number": "304-822-3429",
            "fax_number": "304-822-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 N HIGH ST",
            "address_2": "SUITE 1",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267571415",
            "telephone_number": "304-822-3429",
            "fax_number": "304-822-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT/PSYCHOLOGIST",
        "authorized_official_telephone_number": "304-822-3429",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000102000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0201722000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Psychological Services of West Virginia, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Romney, 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.