NPIMap

Organization Active NPI

Wisdomsources PLLC

  • Psychologist
  • Morgantown, WV
National Provider Identifier
1609053966
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
572 Issued in WV
Legal business name
WISDOMSOURCES PLLC
Practice address
1445 Stewartstown Rd Ste 150
Morgantown, WV 26505-2949
Phone
(304) 777-4848
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Dr. Linda Marie Sandel Pettit, ED.DNPI 1255477899
Title
Owner/Psychologist
Phone
(304) 777-4848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 572 WV Primary

Addresses

Primary practice location

1445 Stewartstown Rd Ste 150
Morgantown, WV 26505-2949

Mailing address

PO Box 100
Bruceton Mills, WV 26525-0100
Phone (304) 692-4868

National Provider Directory

National Provider Directory

Locations

1445 Stewartstown Rd
Ste 150
Morgantown, WV 26505
Phone (304) 777-4848

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1609053966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "BRUCETON MILLS",
            "state": "WV",
            "postal_code": "265250100",
            "telephone_number": "304-692-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 STEWARTSTOWN RD STE 150",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052949",
            "telephone_number": "304-777-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOMSOURCES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "MARIE SANDEL",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "304-777-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WV",
            "license": "572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.