Active NPI
Stacy Michelle Saunders, PSYD
- Clinical Psychologist
- Huntington, WV
National Provider Identifier
1851065932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1298
- Practice address
- 1249 15TH St Ste 2000
Huntington, WV 25701-3662 - Phone
- (304) 691-1010
- NPI assigned
- Aug 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 71421 | WV | |
| Clinical Psychologist | 103TC0700X | 71421 | WV | |
| Clinical Psychologist | 103TC0700X | 6614 | OH | |
| Clinical Psychologist | 103TC0700X | 1298 | WV | Primary |
| Health Psychologist | 103TH0004X | 71421 | WV | |
| Health Psychologist | 103TH0004X | 1298 | WV |
Addresses
Primary practice location
1249 15TH St Ste 2000
Huntington, WV 25701-3662
Mailing address
1249 15TH St
Huntington, WV 25701-3662
Phone (304) 691-1079
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stacy.saunders@marshall.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.28 of 100
- Quality
- 67.11
- Improvement activities
- 40
- Cost
- 74.56
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6614 | OH | MD | Clinical Psychologist |
| 71421 | WV | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Oaks Southeast LLC | Clinical | Current | Accepting new patients |
| Ethan Siegel, Psy.D. | Clinical | Past | Accepting new patients |
Locations
7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472
15051 Harmony Hills Ln
Abingdon, VA 24211
Phone (276) 451-2590
512 Houston St
Staunton, VA 24401
Phone (540) 886-2335
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Falls Church, VA
- NPI 1215488911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1851065932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1249 15TH ST",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257013662",
"telephone_number": "304-691-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1249 15TH ST STE 2000",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257013662",
"telephone_number": "304-691-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUNDERS",
"first_name": "STACY",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-03",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WV",
"license": "71421",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WV",
"license": "71421",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6614",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WV",
"license": "1298",
"primary": true
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "WV",
"license": "71421",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "WV",
"license": "1298",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stacy.saunders@marshall.cernerdirect.com",
"affiliation": "N",
"address_1": "1249 15th St",
"city": "Huntington",
"state": "WV",
"country_code": "US",
"postal_code": "257013662",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.