Psychological Assessment and Intervention Services, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

566 Issued in WV

Legal business name

PSYCHOLOGICAL ASSESSMENT AND INTERVENTION SERVICES, LLC

Practice address

1 Dunbar PLZ Ste 100a
Dunbar, WV 25064-3038

Phone

(304) 346-9586

Fax

(304) 344-2169

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Laura Marie White

Title

WV Director of Operations

Phone

(304) 992-6153

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Clarvida Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Tax ID family

Clarvida2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Psychological Assessment & Intervention Services, LLC

  • Respite Care
  • Dunbar, WV
  • NPI 1477955235
  NPD tax ID

Practitioners 1

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

• Richard Samuel Morgan, M.A.

  • Clinical Psychologist
  • South Charleston, WV
  • NPI 1124356035
  Medicare reassignment NPD

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1356475412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10304 SPOTSYLVANIA AVE STE 300",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088605",
            "telephone_number": "304-346-9586",
            "fax_number": "304-344-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DUNBAR PLZ STE 100A",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250643038",
            "telephone_number": "304-346-9586",
            "fax_number": "304-344-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL ASSESSMENT AND INTERVENTION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "WV DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "304-992-6153"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WV",
            "license": "566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "70365",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005412001",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT STATE BCBS",
            "identifier": "001710371",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0163911000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005412000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005412003",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA VALUE OPTIONS",
            "identifier": "490712",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarvida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jana Lynn Powers
• Premium Martial Arts WV LLC
• Hannah Price
• Kadeja Hope Price
• Psychological Assessment & Intervention Services, LLC
• Boyd C Purcell, LPC
• Justin Quintrell
• Nathaniel Lewis Rainey, PA-C
• Hillary Ratliff
• Recoveryu

• Psychologist in Dunbar, WV
• Providers in Dunbar, WV by specialty
• Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.