Active NPI
Brian August Creasy, PH.D.
- Psychologist
- Martinsburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1123
- Practice address
- 2004 Professional CT
Martinsburg, WV 25401-8808 - Phone
- (304) 596-5780
- Fax
- (304) 596-5871
- NPI assigned
- Sep 10, 2012
- Last updated
- Apr 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1123 | WV | Primary |
| Clinical Psychologist | 103TC0700X | 36616 | TX |
Addresses
Primary practice location
2004 Professional CT
Martinsburg, WV 25401-8808
Mailing address
2004 Professional CT
Martinsburg, WV 25401-8808
Phone (304) 596-5780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810030132 | Medicaid | WV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bcreasy37918@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
415 Wilson St
Martinsburg, WV 25401-3023
Phone (304) 596-2899
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1123 | WV | MD | Psychologist |
| 36616 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients |
Locations
2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436
2004 Professional Ct
Martinsburg, WV 25401
Phone (304) 263-8964
2500 Foundation Way
Martinsburg, WV 25401
Phone (304) 264-9202
415 Wilson St
Martinsburg, WV 25401
Phone (304) 579-4455
61 Campus Dr
Ste 200
Martinsburg, WV 25404
Phone (304) 274-6343
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
Interoperability endpoints
- bcreasy37918@direct.wvuhsdirect.com
Organizations & group practices 2
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.
-
dba University Health Associates
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
dba Crisis Support and Recovery Center
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Berkeley Medical Center
- General Acute Care Hospital
- Martinsburg, WV
- NPI 1457389249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1598014292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 PROFESSIONAL CT",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254018808",
"telephone_number": "304-596-5780",
"fax_number": "304-596-5871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 PROFESSIONAL CT",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254018808",
"telephone_number": "304-596-5780",
"fax_number": "304-596-5871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREASY",
"first_name": "BRIAN",
"middle_name": "AUGUST",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-10",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WV",
"license": "1123",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "36616",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810030132",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bcreasy37918@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2004 Professional Ct",
"city": "Martinsburg",
"state": "WV",
"country_code": "US",
"postal_code": "254018808",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.