Active NPI
Peter Joseph Kahn, PH.D.
- Psychologist
- Morgantown, WV
National Provider Identifier
1770791295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 814
- Practice address
- Carruth Center for Counseling, College Ave.
RM 303 Student Services Center Building
Morgantown, WV 26506-6422 - Phone
- (304) 293-4431
- Fax
- (304) 293-3705
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 814 | WV | Primary |
| Clinical Psychologist | 103TC0700X | 814 | WV |
Addresses
Primary practice location
Carruth Center for Counseling, College Ave.
RM 303 Student Services Center Building
Morgantown, WV 26506-6422
Mailing address
Carruth Center for Counseling, College Ave.
RM 303 Student Services Center Building
Morgantown, WV 26506-6422
Phone (304) 293-4431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 814 | WV | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193443200000",
"number": "1770791295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CARRUTH CENTER FOR COUNSELING, COLLEGE AVE.",
"address_2": "RM 303 STUDENT SERVICES CENTER BUILDING",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265066422",
"telephone_number": "304-293-4431",
"fax_number": "304-293-3705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRUTH CENTER FOR COUNSELING, COLLEGE AVE.",
"address_2": "RM 303 STUDENT SERVICES CENTER BUILDING",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265066422",
"telephone_number": "304-293-4431",
"fax_number": "304-293-3705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "PETER",
"middle_name": "JOSEPH",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2007-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WV",
"license": "814",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WV",
"license": "814",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.