Active NPI
Scott Andrew Spaulding, MA PSYCHOLOGIST
- Psychologist
- Charleston, WV
National Provider Identifier
1487725834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- WV936
- Practice address
- 1116 Smith St
Suite 207
Charleston, WV 25301-1314 - Phone
- (888) 505-1862
- Fax
- (681) 265-9250
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | WV936 | WV | |
| Family Psychologist | 103TF0000X | WV936 | WV | |
| Psychologist | 103T00000X | WV936 | WV | Primary |
Addresses
Primary practice location
1116 Smith St
Suite 207
Charleston, WV 25301-1314
Mailing address
1116 Smith St
Suite 207
Charleston, WV 25301-1314
Phone (888) 505-1862
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WV936 | WV | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Psychological Solutions, PLLC | Clinical Child & Adolescent | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Charleston, WV
- NPI 1841525730
Clinical Child & Adolescent
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1487725834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 SMITH ST",
"address_2": "SUITE 207",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253011314",
"telephone_number": "888-505-1862",
"fax_number": "681-265-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 SMITH ST",
"address_2": "SUITE 207",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253011314",
"telephone_number": "888-505-1862",
"fax_number": "681-265-9250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAULDING",
"first_name": "SCOTT",
"middle_name": "ANDREW",
"credential": "MA PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "WV",
"license": "WV936",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "WV",
"license": "WV936",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WV",
"license": "WV936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.