Active NPI
Lee Ann Vecellio, EDS
- School Psychologist
- Clarksburg, WV
National Provider Identifier
1386070092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 6878
- Practice address
- 1201 N 15TH St
Clarksburg, WV 26301-1989 - Phone
- (304) 624-6554
- Fax
- (304) 624-5223
- NPI assigned
- Sep 26, 2013
- Last updated
- Sep 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 6878 | WV | Primary |
Addresses
Primary practice location
1201 N 15TH St
Clarksburg, WV 26301-1989
Mailing address
201 N Court St
Glenville, WV 26351-1273
Phone (304) 624-6554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6878 | WV | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gilmer County Board of Education | Past | Accepting new patients | |
| Gilmer County Board of Education | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Glenville, WV
- NPI 1447429329
-
- Local Education Agency (LEA)
- Glenville, WV
- NPI 1497931042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1386070092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N COURT ST",
"city": "GLENVILLE",
"state": "WV",
"postal_code": "263511273",
"telephone_number": "304-624-6554",
"fax_number": "304-624-5223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N 15TH ST",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "263011989",
"telephone_number": "304-624-6554",
"fax_number": "304-624-5223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VECELLIO",
"first_name": "LEE",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "EDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-26",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "WV",
"license": "6878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.