Victor Cerra, EDD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

148 Issued in WV

Practice address

40 12TH St
Suite 222
Wheeling, WV 26003-3279

Phone

(304) 232-0190

Fax

(304) 232-4682

NPI assigned

Sep 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Clinical Psychologist

Education

West Virginia University School of Medicine, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1356337620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 12TH ST",
            "address_2": "SUITE 222",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033279",
            "telephone_number": "304-232-0190",
            "fax_number": "304-232-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 12TH ST",
            "address_2": "SUITE 222",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033279",
            "telephone_number": "304-232-0190",
            "fax_number": "304-232-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERRA",
        "first_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN",
            "identifier": "550709943",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162855000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert A Caveney, MD
• Cody Scott Cawthon, DO
• Center for Professional Counseling
• Julie Cerra
• Linda Lou Cerra
• Trista Kay Cervelli
• Cesar Pizarro, MD,Inc.
• Corinne J Chamberlin
• Tina Chandler
• Charla L. Anderson, M.D.

• Clinical Psychologist in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Clinical Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.