John Philip Vanhorn Jr., PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

108 Lee St E RM 129
Charleston, WV 25301-1506

Phone

(681) 205-2455

NPI assigned

Nov 21, 2017

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.vanhorn.jr.1@7267.direct.athenahealth.com

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.

• Cabin Creek Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Dawes, WV
  • NPI 1366495525
  Medicare reassignment NPD
• Cabin Creek Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Charleston, WV
  • NPI 1194596759
  NPD
• Cabin Creek Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Belle, WV
  • NPI 1538214077
  NPD

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1801300306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 GOODWILL RD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257048820",
            "telephone_number": "304-654-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LEE ST E RM 129",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011506",
            "telephone_number": "681-205-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHORN",
        "first_name": "JOHN",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Vangilder
• Mikayla Nicole Vanhoose, LGSW
• Timothy Aaron Vanhoose, MD
• Amanda Vanhorn
• Ashley Vanhorn
• Kathryn Vanmeter
• Candida Vannatta, CLINICAL COUNSELOR
• Tanya Vannote
• Christina Vannoy
• Casara Vanover

• Psychologist in Charleston, WV
• Providers in Charleston, 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 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.