Psyscape PLLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

647 Issued in WV

Legal business name

PSYSCAPE PLLC

Practice address

201 6TH Ave
Saint Albans, WV 25177-2836

Phone

(304) 552-9832

Fax

(866) 212-0708

NPI assigned

Apr 11, 2007

Last updated

Jun 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ernie L. Vecchio, MA

Title

Psychologist

Phone

(304) 552-9832

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1578786174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 POPLAR FORK RD",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609788",
            "telephone_number": "304-552-9832",
            "fax_number": "866-212-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 6TH AVE",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772836",
            "telephone_number": "304-552-9832",
            "fax_number": "866-212-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYSCAPE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "VECCHIO",
        "authorized_official_first_name": "ERNIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "304-552-9832",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "WV",
            "license": "647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164492000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Saint Albans, WV
• Providers in Saint Albans, WV by specialty
• Counseling Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.