Active NPI
Amy Kay Guthrie, MA, LP
- Psychologist
- Parkersburg, WV
National Provider Identifier
1578699930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 894
- Practice address
- 2121 7TH St
Parkersburg, WV 26101-3803 - Phone
- (304) 485-1721
- Fax
- (304) 485-6710
- NPI assigned
- Feb 27, 2007
- Last updated
- Mar 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 894 | WV | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | 894 | WV | |
| Clinical Psychologist | 103TC0700X | 894 | WV | |
| Counseling Psychologist | 103TC1900X | 894 | WV | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 894 | WV |
Addresses
Primary practice location
2121 7TH St
Parkersburg, WV 26101-3803
Mailing address
1409 24TH St
Vienna, WV 26105-2367
Phone (304) 422-1464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 894 | Other | WV | PSYCHOLOGY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 894 | WV | MD | Cognitive & Behavioral Psychologist |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Parkersburg, WV
- NPI 1912913773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300060800000",
"number": "1578699930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 24TH ST",
"city": "VIENNA",
"state": "WV",
"postal_code": "261052367",
"telephone_number": "304-422-1464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 7TH ST",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261013803",
"telephone_number": "304-485-1721",
"fax_number": "304-485-6710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTHRIE",
"first_name": "AMY",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "MA, LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2011-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WV",
"license": "894",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "WV",
"license": "894",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WV",
"license": "894",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WV",
"license": "894",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "WV",
"license": "894",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGY LICENSE",
"identifier": "894",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
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 Mar 14, 2011; 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.