NPIMap

Organization Active NPI

Psych Services Associates, Inc

  • Psychologist
  • Spencer, WV
National Provider Identifier
1366487902
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
654 Issued in WV
Legal business name
PSYCH SERVICES ASSOCIATES, INC
Practice address
141 Main St
Spencer, WV 25276-1414
Phone
(304) 927-5262
Fax
(304) 927-0378
NPI assigned
Jun 18, 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
Dr. Timothy S Saar, PH.D.NPI 1255362067
Title
Clinical Director
Phone
(304) 927-5262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 654 WV Primary

Addresses

Primary practice location

141 Main St
Spencer, WV 25276-1414

Mailing address

141 Main St
Spencer, WV 25276-1414
Phone (304) 927-5262

Other identifiers 1

IdentifierTypeStateIssuer
9205092000MedicaidWV

National Provider Directory

National Provider Directory

Locations

141 Main St
Spencer, WV 25276
Phone (304) 927-5262

Practitioners & affiliated clinicians

Practitioners 5

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": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366487902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 MAIN ST",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252761414",
            "telephone_number": "304-927-5262",
            "fax_number": "304-927-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MAIN ST",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252761414",
            "telephone_number": "304-927-5262",
            "fax_number": "304-927-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH SERVICES ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAAR",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "304-927-5262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WV",
            "license": "654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9205092000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, 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.