Individual provider Active NPI

Louis Nieuwenhuizen, PSYD

  • Clinical Psychologist
  • Huntington, WV
National Provider Identifier
1689101859
Registry record updated May 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1153 Issued in WV
Practice address
1115 20TH St
Huntington, WV 25703-2071
Phone
(304) 691-1500
NPI assigned
May 18, 2017
Last updated
May 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1153 WV Primary

Addresses

Primary practice location

1115 20TH St
Huntington, WV 25703-2071

Mailing address

2504 Spring St
Charleston, WV 25303-2501
Phone (304) 380-1765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20250401001913 WA Practitioner - Clinical Psychologist 3072889575 Reassigns benefits to 1 organization

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
Olympic Psychology Services, PLLCGroup PAC ID 8527393156, 9 clinicians

Practice addresses (Care Compare)

711 Court a
Suite 114
Tacoma, WA 98402-5227
Phone (253) 269-6063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1153WVMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Services by Ops, PLLC Clinical CurrentSince Jan 21, 2025 Accepting new patients
Olympic Psychology Services, PLLC CurrentSince Jan 21, 2025 Accepting new patients

Locations

711 Court a
Ste 114
Tacoma, WA 98402
Phone (253) 269-6063

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.

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495065600000",
    "number": "1689101859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 SPRING ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253032501",
            "telephone_number": "304-380-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 20TH ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257032071",
            "telephone_number": "304-691-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEUWENHUIZEN",
        "first_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-18",
        "last_updated": "2017-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "1153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.