Chava Zemirah Urecki, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

107 Koontz Ave Ste 200
Clendenin, WV 25045-9581

Phone

(304) 548-7272

Fax

(304) 548-7149

NPI assigned

Nov 22, 2018

Last updated

May 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7267/brand/1/csg/1/fhir/r4

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.

• Clendenin Health Center Pharmacy at Riverview

  dba Riverview Pharmacy

  • Community/Retail Pharmacy
  • Clendenin, WV
  • NPI 1285928804
  NPD (past)

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

{
    "created_epoch": "1542844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1710456546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ALEX LN",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042952",
            "telephone_number": "304-734-2040",
            "fax_number": "304-734-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 KOONTZ AVE STE 200",
            "city": "CLENDENIN",
            "state": "WV",
            "postal_code": "250459581",
            "telephone_number": "304-548-7272",
            "fax_number": "304-548-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URECKI",
        "first_name": "CHAVA",
        "middle_name": "ZEMIRAH",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Ta, M.D.
• Judith Taylor
• Jennifer Lynn Thayer, PA-C
• Joshua Thomas
• Amy Thompson
• Walgreen Co (Walgreens #19209)
• Walgreen Co. (Walgreens #19209)
• Walgreen Co. (Walgreens #19209)
• Aimee Nichole Walker
• Branden Edward Walker

• Psychologist in Clendenin, WV
• Providers in Clendenin, WV by specialty
• Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.