Andrea Pammer, MA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

984 Issued in WV

Practice address

1314 Locust Ave
Fairmont, WV 26554-1436

Phone

(304) 996-2658

Fax

(304) 367-0233

NPI assigned

Dec 16, 2017

Last updated

Jun 14, 2022By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andrea Pammer LLC Dba Pammerpsych

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairmont, WV
  • NPI 1033838636
  NPD Authorized official
• Banyan Tree Counseling Group

  dba Morgantown Counseling Center, MPCC

  • Mental Health Counselor
  • Morgantown, WV
  • NPI 1689185704
  NPD (past)
• West Virginia University Medical Corporation

  dba Crisis Support and Recovery Center

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1174233530
  NPD (past)

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

{
    "created_epoch": "1513382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1841706637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 SHAVER ST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541036",
            "telephone_number": "304-365-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 LOCUST AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541436",
            "telephone_number": "304-996-2658",
            "fax_number": "304-367-0233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Commerce Dr",
            "address_purpose": "LOCATION",
            "city": "Westover",
            "state": "WV",
            "postal_code": "265013858",
            "country_code": "US",
            "telephone_number": "304-996-2658",
            "fax_number": "304-367-0233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1063 Maple Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265050387",
            "country_code": "US",
            "telephone_number": "304-599-5751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAMMER",
        "first_name": "ANDREA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-16",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Joseph Page, ATC
• Megan Paknik
• Justin Palmer
• Patricia Palmer
• Raquel Palmer
• Michelle Lynn Paquette, MSD
• Nathan Park, BA
• Bobbi Jo Parker
• Olivia Danielle Parker, PARAPROFESSIONAL
• Linda C Parlett, CRNA

• Clinical Psychologist in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Clinical Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.