Organization Active NPI

Mansuetto-Coville Psychological Services, PLLC

  • Community/Behavioral Health Agency
  • Wheeling, WV
National Provider Identifier
1447558101
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MANSUETTO-COVILLE PSYCHOLOGICAL SERVICES, PLLC
Practice address
98 E Cove Ave Unit E
Wheeling, WV 26003-5080
Phone
(304) 243-5600
Fax
(304) 905-9131
NPI assigned
Mar 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Authorized official

Name
Ms. Jill Elizabeth Fry
Title
Office Manager
Phone
(304) 243-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

98 E Cove Ave Unit E
Wheeling, WV 26003-5080

Mailing address

98 E Cove Ave Unit E
Wheeling, WV 26003-5080
Phone (304) 243-5600

National Provider Directory

National Provider Directory

Locations

98 E Cove Ave
Unit E
Wheeling, WV 26003
Phone (304) 243-5600

Practitioners & affiliated clinicians

Practitioners 1

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": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1447558101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 E COVE AVE UNIT E",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035080",
            "telephone_number": "304-243-5600",
            "fax_number": "304-905-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 E COVE AVE UNIT E",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035080",
            "telephone_number": "304-243-5600",
            "fax_number": "304-905-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSUETTO-COVILLE PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-243-5600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.