Organization Active NPI

GR&W, Inc

Doing business as GR&W Harmony

  • Clinical Neuropsychologist
  • Morgantown, WV
National Provider Identifier
1407192024
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
GR&W, INC
Doing business as
GR&W Harmony
Practice address
1005 White Willow Way
Morgantown, WV 26505-6119
Phone
(304) 460-5123
Fax
(800) 734-8498
NPI assigned
Dec 31, 2012
Last updated
Apr 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

Name
Ryan J Wakim, MDNPI 1093033789
Title
Authorized Official
Phone
(304) 280-7337

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
Clinical Neuropsychologist 103G00000X NU Primary

Addresses

Primary practice location

1005 White Willow Way
Morgantown, WV 26505-6119

Mailing address

1005 White Willow Way
Morgantown, WV 26505-6119
Phone (304) 460-5123

Other practice location 1

1 Kenton Dr
Charleston, WV 25311-1256
Phone (304) 460-5123

Other practice location 2

120 Professional Pl Ste 101
Bridgeport, WV 26330-4599
Phone (304) 460-5123

Other practice location 3

1100 Main St Ste 104
Wheeling, WV 26003-2737
Phone (304) 460-5123

Other practice location 4

400 Foxcroft Ave
Martinsburg, WV 25401-5302
Phone (304) 460-5123

Other practice location 5

395 Emily Dr
Clarksburg, WV 26301-5505
Phone (304) 460-5123

Other names 2

  • GR&W Harmony Doing business as
  • ROOTS Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130315000456 WV Part B Supplier - Clinic/Group Practice 9739324922 Receives reassigned benefits from 150 practitioners
Practice locations: Wheeling, WV; Charleston, WV; Morgantown, WV; Bridgeport, WV; Martinsburg, WV

National Provider Directory

National Provider Directory

Locations

615 E McMurray Rd
McMurray, PA 15317
Phone (724) 942-3996

4001 Stonewood Dr
Ste 105
Wexford, PA 15090

7000 Stonewood Dr
Ste 300
Wexford, PA 15090
Phone (724) 724-0992

120 Professional Pl
Ste 101
Bridgeport, WV 26330
Phone (304) 369-8878

2 Wbuc
Ste B
Buckhannon, WV 26201

1 Kenton Dr
Charleston, WV 25311
Phone (304) 205-9008

1 Kenton Dr
#200
Charleston, WV 25311
Phone (304) 408-3292

400 Foxcroft Ave
Martinsburg, WV 25401
Phone (304) 443-1408

1005 White Willow Way
Morgantown, WV 26505
Phone (304) 212-7238

911 Emerson Ave
Parkersburg, WV 26104
Phone (304) 865-5444

135 Staunton Dr
Weston, WV 26452

Practitioners & affiliated clinicians

Practitioners 243

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 243

NPI Registry JSON

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1407192024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 WHITE WILLOW WAY",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265056119",
            "telephone_number": "304-460-5123",
            "fax_number": "800-734-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 WHITE WILLOW WAY",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265056119",
            "telephone_number": "304-460-5123",
            "fax_number": "800-734-8498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Kenton Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253111256",
            "country_code": "US",
            "telephone_number": "304-460-5123",
            "fax_number": "800-734-8498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Professional Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "WV",
            "postal_code": "263304599",
            "country_code": "US",
            "telephone_number": "304-460-5123",
            "fax_number": "800-734-8498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Main St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "WV",
            "postal_code": "260032737",
            "country_code": "US",
            "telephone_number": "304-460-5123",
            "fax_number": "800-734-8498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Foxcroft Ave",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254015302",
            "country_code": "US",
            "telephone_number": "304-460-5123",
            "fax_number": "800-734-8498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "395 Emily Dr",
            "address_purpose": "LOCATION",
            "city": "Clarksburg",
            "state": "WV",
            "postal_code": "263015505",
            "country_code": "US",
            "telephone_number": "304-460-5123",
            "fax_number": "800-734-8498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GR&W, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-31",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "WAKIM",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "304-280-7337",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GR&W Harmony",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ROOTS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.