Individual provider Active NPI

Richard Harding Kiley, P.H.D.

  • Psychologist
  • Elkins, WV
National Provider Identifier
1629123336
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
188 Issued in WV
Practice address
725 Yokum St
Elkins, WV 26241-3353
Phone
(304) 636-3232
Fax
(304) 636-9243
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 188 WV Primary

Addresses

Primary practice location

725 Yokum St
Elkins, WV 26241-3353

Mailing address

208 Hickory Dr
Elkins, WV 26241-9539

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090519000528 WV Practitioner - Clinical Psychologist 1658363007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

27 S Kanawha St
Buckhannon, WV 26201-2625
Phone (304) 472-2022

601 Walnut St
Parsons, WV 26287-9017
Phone (304) 478-2764

725 Yokum St
Elkins, WV 26241-3353
Phone (304) 636-3232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
188WVMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Community Health Center CurrentSince May 1, 1987 Accepting new patients
Appalachian Community Health Center Current Accepting new patients
Appalachian Community Health Center Past Accepting new patients
Appalachian Community Health Center Past Accepting new patients

Locations

124 Greystone Ct
Belington, WV 26250
Phone (304) 823-3873

27 S Kanawha St
Buckhannon, WV 26201
Phone (304) 472-2022

725 Yokum St
Elkins, WV 26241
Phone (304) 636-3232

601 Walnut St
Parsons, WV 26287
Phone (304) 478-2764

Interoperability endpoints

  • Direct secure messaging: rkiley@achcinc.bostontech.phimailbox.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629123336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 HICKORY DR",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262419539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 YOKUM ST",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413353",
            "telephone_number": "304-636-3232",
            "fax_number": "304-636-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILEY",
        "first_name": "RICHARD",
        "middle_name": "HARDING",
        "name_prefix": "Dr.",
        "credential": "P.H.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

Verify at the official NPI Registry.