Organization Active NPI

Psychological Testing Services, PLLC

  • Psychologist
  • Bluefield, WV
National Provider Identifier
1760697551
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
846 Issued in WV
Legal business name
PSYCHOLOGICAL TESTING SERVICES, PLLC
Practice address
1421 Stadium Dr
Bluefield, WV 24701-3319
Phone
(304) 323-1627
Fax
(304) 323-1627
NPI assigned
May 14, 2007
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Teresa E. Jarrell, M.A.NPI 1053412510
Title
Licensed Psychologist
Phone
(304) 323-1627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 846 WV Primary

Addresses

Primary practice location

1421 Stadium Dr
Bluefield, WV 24701-3319

Mailing address

1421 Stadium Dr
Bluefield, WV 24701
Phone (304) 323-1627

Other identifiers 1

IdentifierTypeStateIssuer
9202138000MedicaidWV

National Provider Directory

National Provider Directory

Locations

1421 Stadium Dr
Bluefield, WV 24701
Phone (304) 325-2447

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1760697551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 STADIUM DR",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "24701",
            "telephone_number": "304-323-1627",
            "fax_number": "304-323-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 STADIUM DR",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013319",
            "telephone_number": "304-323-1627",
            "fax_number": "304-323-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL TESTING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "JARRELL",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "304-323-1627",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9202138000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.