Individual provider Active NPI

Kathy L Murphy, M.A.

  • Psychologist
  • Petersburg, WV
National Provider Identifier
1689862443
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
938 Issued in WV
Practice address
6 Park St
Petersburg, WV 26847-1765
Phone
(304) 257-1155
Fax
(304) 257-1945
NPI assigned
Oct 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 283 WV
Psychologist 103T00000X 938 WV Primary
Clinical Social Worker 1041C0700X CP00451473 WV

Addresses

Primary practice location

6 Park St
Petersburg, WV 26847-1765

Mailing address

6 Park St
Petersburg, WV 26847-1765
Phone (304) 257-1155

Other identifiers 3

IdentifierTypeStateIssuer
938OtherWVLICENSE #
283OtherWVLICENSE #
CP00451473OtherWVLICENSE #

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
I20090423000584 WV Practitioner - Clinical Psychologist 6608924071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
West Virginia University School of Medicine, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Potomac Highlands Mental Health Guild, Inc.Group PAC ID 0244316123, 5 clinicians

Practice addresses (Care Compare)

7 Mountain View St
Petersburg, WV 26847-1796
Phone (304) 257-1155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CP00451473WVMDClinical Social Worker
938WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Potomac Highlands Mental Health Guild, Inc. CurrentSince Sep 1, 2007 Accepting new patients

Locations

7 Mountain View St
Petersburg, WV 26847
Phone (304) 257-1155

Organizations & group practices 1

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": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1689862443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PARK ST",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268471765",
            "telephone_number": "304-257-1155",
            "fax_number": "304-257-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PARK ST",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268471765",
            "telephone_number": "304-257-1155",
            "fax_number": "304-257-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "KATHY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "283",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "938",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "CP00451473",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "938",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "283",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "CP00451473",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, WV

Sources for this page

Verify at the official NPI Registry.