Individual provider Active NPI

Cynthia D Spaulding, M.A.

  • Psychologist
  • Parkersburg, WV
National Provider Identifier
1558378828
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
700 Issued in WV
Practice address
1809 Dupont Rd Ste 3
Parkersburg, WV 26101-9704
Phone
(304) 861-5184
Fax
(304) 861-5187
NPI assigned
Aug 1, 2006
Last updated
Dec 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 700 WV Primary

Addresses

Primary practice location

1809 Dupont Rd Ste 3
Parkersburg, WV 26101-9704

Mailing address

123 Canterbury Dr
Parkersburg, WV 26104-8057
Phone (304) 615-9654

Other identifiers 1

IdentifierTypeStateIssuer
0164840000MedicaidWV

Other names 1

  • Cynthia D Beck Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061017000083 WV Practitioner - Psychologist Billing Independently 4082610936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spaulding Psychological ServicesGroup PAC ID 9830196419, 3 clinicians

Practice addresses (Care Compare)

1809 Dupont Rd
Suite 3
Parkersburg, WV 26101-9704
Phone (304) 861-5184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
700WVMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spaulding Psychological Services CurrentSince Aug 31, 2006 Accepting new patients

Locations

1809 DuPont Rd
Ste 3
Parkersburg, WV 26101
Phone (304) 861-5184

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1558378828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CANTERBURY DR",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261048057",
            "telephone_number": "304-615-9654",
            "fax_number": "304-861-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 DUPONT RD STE 3",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261019704",
            "telephone_number": "304-861-5184",
            "fax_number": "304-861-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "CYNTHIA",
        "middle_name": "D",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164840000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "BECK",
            "middle_name": "D",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.