NPIMap

Organization Active NPI

Pathways Psychological Center

  • Psychologist
  • Bluefield, WV
National Provider Identifier
1396755302
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
430 Issued in WV
Legal business name
PATHWAYS PSYCHOLOGICAL CENTER
Practice address
207 South St
Bluefield, WV 24701
Phone
(304) 327-5744
Fax
(304) 327-5746
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Authorized official

Name
Mr. Steve Ferris, PSYCHOLOGISTNPI 1699785618
Title
Partner/Lic Psychologist
Phone
(304) 327-5744

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 430 WV Primary

Addresses

Primary practice location

207 South St
Bluefield, WV 24701

Mailing address

PO Box 1504
Bluefield, WV 24701-1504
Phone (304) 327-5744

Other identifiers 2

IdentifierTypeStateIssuer
007707584MedicaidVA
0163013000MedicaidWV

National Provider Directory

National Provider Directory

Locations

207 South St
Bluefield, WV 24701
Phone (304) 327-5744

Practitioners & affiliated clinicians

Practitioners 3

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1396755302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1504",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247011504",
            "telephone_number": "304-327-5744",
            "fax_number": "304-327-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SOUTH ST",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "24701",
            "telephone_number": "304-327-5744",
            "fax_number": "304-327-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS PSYCHOLOGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "FERRIS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PARTNER/LIC PSYCHOLOGIST",
        "authorized_official_telephone_number": "304-327-5744",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WV",
            "license": "430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007707584",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0163013000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.