Active NPI
Kathy L Murphy, M.A.
- Psychologist
- Petersburg, WV
National Provider Identifier
1689862443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 938
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 938 | Other | WV | LICENSE # |
| 283 | Other | WV | LICENSE # |
| CP00451473 | Other | WV | LICENSE # |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CP00451473 | WV | MD | Clinical Social Worker |
| 938 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potomac Highlands Mental Health Guild, Inc. | Current | 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.
-
- Community/Behavioral Health Agency
- Petersburg, WV
- NPI 1992714398
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.