Organization Active NPI

Sharon G McMillen M a Psycholotist Inc

  • Psychologist
  • Kingwood, WV
National Provider Identifier
1760529655
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
538 Issued in WV
Legal business name
SHARON G MCMILLEN M A PSYCHOLOTIST INC
Practice address
125 E High St
Kingwood, WV 26537-1444
Phone
(304) 329-2300
Fax
(304) 329-2551
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Mrs. Sharon G McMillen, M.A.NPI 1942370283
Title
Psychologist Owner
Phone
(304) 329-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 538 WV Primary

Addresses

Primary practice location

125 E High St
Kingwood, WV 26537-1444

Mailing address

125 E High St
Kingwood, WV 26537-1444
Phone (304) 329-2300

Other identifiers 1

IdentifierTypeStateIssuer
0164758000MedicaidWV

National Provider Directory

National Provider Directory

Locations

216 W Main St
#A
Kingwood, WV 26537

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1760529655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E HIGH ST",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371444",
            "telephone_number": "304-329-2300",
            "fax_number": "304-329-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E HIGH ST",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371444",
            "telephone_number": "304-329-2300",
            "fax_number": "304-329-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON G MCMILLEN M A PSYCHOLOTIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "MCMILLEN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PSYCHOLOGIST  OWNER",
        "authorized_official_telephone_number": "304-329-2300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WV",
            "license": "538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164758000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.