Active NPI
Sandra S Stroebel, PHD
- Psychologist
- Charleston, WV
National Provider Identifier
1821172578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 627
- Practice address
- 945 South Ruffner Road
Charleston, WV 25314 - Phone
- (304) 746-2032
- NPI assigned
- Oct 25, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 627 | WV | Primary |
Addresses
Primary practice location
945 South Ruffner Road
Charleston, WV 25314
Mailing address
945 South Ruffner Road
Charleston, WV 25314
Phone (304) 746-2032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0166474000 | Medicaid | WV |
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 |
|---|---|---|---|
| 627 | WV | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821172578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 SOUTH RUFFNER ROAD",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25314",
"telephone_number": "304-746-2032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 SOUTH RUFFNER ROAD",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25314",
"telephone_number": "304-746-2032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROEBEL",
"first_name": "SANDRA",
"middle_name": "S",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WV",
"license": "627",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0166474000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.