Individual provider Active NPI

Ashley Stalnaker Pack, PSYD

  • Health Service Psychologist
  • Huntington, WV
National Provider Identifier
1720880206
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
1372 Issued in WV
Practice address
85 Donohoe Dr
Huntington, WV 25705-8887
Phone
(304) 399-3310
NPI assigned
Mar 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 1372 WV Primary

Addresses

Primary practice location

85 Donohoe Dr
Huntington, WV 25705-8887

Mailing address

2561 Collis Ave
Huntington, WV 25703-1636
Phone (304) 389-3986

Other practice location 1

2585 3rd Ave
Huntington, WV 25703-1642
Phone (304) 781-5138

Other names 1

  • Dr. Ashley Pack Professional name

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
I20250421002203 WV Practitioner - Clinical Psychologist 2163947375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Systems, IncGroup PAC ID 9931017969, shared by 41 NPIs, 110 clinicians

Practice addresses (Care Compare)

85 Donohoe Dr
Huntington, WV 25705-8887
Phone (304) 399-3310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1372WVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems Inc CurrentSince May 1, 2025 Accepting new patients
Valley Health Systems Inc CurrentSince May 1, 2025 Accepting new patients
Valley Health Systems, Inc. CurrentSince May 1, 2025 Accepting new patients

Locations

85 Donohoe Dr
Huntington, WV 25705
Phone (304) 399-3310

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

Organizations & group practices 3

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": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1720880206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 COLLIS AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031636",
            "telephone_number": "304-389-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 DONOHOE DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257058887",
            "telephone_number": "304-399-3310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2585 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257031642",
            "country_code": "US",
            "telephone_number": "304-781-5138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STALNAKER PACK",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "WV",
            "license": "1372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "PACK",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.