Natalie Suzanne Osburn, MA, LICENSED PSYCHOL

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1120 Issued in WV

Practice address

3375 US Route 60, East
Huntington, WV 25705-2837

Phone

(304) 525-7851

Fax

(304) 586-0671

NPI assigned

Oct 13, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Natalie Suzanne Grunau Other name

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prestera Center for Mental Health Services Inc

  • Community/Behavioral Health Agency
  • Barboursville, WV
  • NPI 1356336903
  Medicare reassignment NPD
• Prestera Center for Mental Health Services Inc

  • Primary Care Clinic/Center
  • Huntington, WV
  • NPI 1992394860
  NPD
• Prestera Center for Mental Health Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huntington, WV
  • NPI 1740443530
  NPD (past)
• Prestera Center for Mental Health Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huntington, WV
  • NPI 1962772897
  NPD (past)

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1487025763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CRACKER BARREL DR STE 100",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041650",
            "telephone_number": "304-525-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 US ROUTE 60, EAST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052837",
            "telephone_number": "304-525-7851",
            "fax_number": "304-586-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBURN",
        "first_name": "NATALIE",
        "middle_name": "SUZANNE",
        "credential": "MA, LICENSED PSYCHOL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "AP00943840",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "1120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005355002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "GRUNAU",
            "middle_name": "SUZANNE",
            "credential": "MA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Orders, PHARM.D.
• Austin L Osborne, PT DPT
• Bethany Renee Osborne
• Christopher A. Osborne, M.A.
• Sean Osborne
• Savanna Marie Osburn, DO
• Kofi Marfo Osei, MD
• Mary A Osei, M.D.
• Rebecca Osterwise, PSY.D.
• Lauren Marie Ott, ED.S., NCSP

• Clinical Psychologist in Huntington, WV
• Providers in Huntington, WV by specialty
• Clinical Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.