Active NPI
Sharon Jean Joseph, PH. D.
- Clinical Psychologist
- Elkins, WV
National Provider Identifier
1629073770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 719
- Practice address
- 58 Physicians Way
Elkins, WV 26241-4100 - Phone
- (304) 637-5426
- Fax
- (304) 637-5428
- NPI assigned
- Jun 16, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 719 | WV | |
| Clinical Psychologist | 103TC0700X | 719 | WV | Primary |
Addresses
Primary practice location
58 Physicians Way
Elkins, WV 26241-4100
Mailing address
58 Physicians Way
Elkins, WV 26241-4100
Phone (304) 637-5426
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680010446 | Other | WV | RAILROAD MEDICARE |
| 0164866000 | Medicaid | WV | |
| 1047001 | Other | WV | WC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 719 | WV | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1629073770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 PHYSICIANS WAY",
"city": "ELKINS",
"state": "WV",
"postal_code": "262414100",
"telephone_number": "304-637-5426",
"fax_number": "304-637-5428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 PHYSICIANS WAY",
"city": "ELKINS",
"state": "WV",
"postal_code": "262414100",
"telephone_number": "304-637-5426",
"fax_number": "304-637-5428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "SHARON",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "PH. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "WV",
"license": "719",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WV",
"license": "719",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "680010446",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0164866000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WC",
"identifier": "1047001",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkins, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.