Active NPI
Karl G. Hursey, PHD
- Clinical Psychologist
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS015698
- Practice address
- 2595 Interstate Dr
Suite 103
Harrisburg, PA 17110-9378 - Phone
- (800) 370-3651
- Fax
- (866) 510-0020
- NPI assigned
- Jun 11, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | 584 | WV | |
| Health Service Psychologist | 103TH0100X | PS015698 | PA | |
| Clinical Psychologist | 103TC0700X | PS015698 | PA | Primary |
Addresses
Primary practice location
2595 Interstate Dr
Suite 103
Harrisburg, PA 17110-9378
Mailing address
199 Zimmerman Rd
Waynesburg, PA 15370-3730
Phone (724) 949-0058
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0164662000 | Medicaid | WV | |
| 276844 | Other | VALUEOPTIONS PROV NUM |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | khursey303498@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | khursey303498@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, PA
- 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 Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
227 Medical Park Dr
Suite 103
Bridgeport, WV 26330-8421
Phone (681) 342-3500
Hospital & facility affiliations
- United Hospital Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 584 | OH | MD | Peer Specialist |
| 584 | WV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Hospital Center, Inc. | Current | Accepting new patients | |
| Meditelecare of Pennsylvania LLC | Clinical | Current | Accepting new patients |
Locations
600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339
327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000
227 Medical Park Dr
Ste 103
Bridgeport, WV 26330
Phone (681) 342-3561
Interoperability endpoints
- khursey303498@direct.wvuhsdirect.com
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.
-
- Internal Medicine Physician
- Bridgeport, WV
- NPI 1760965586
-
- Clinical Psychologist
- Harrisburg, PA
- NPI 1396351847
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, WV
- NPI 1184606600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1881636355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 ZIMMERMAN RD",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "153703730",
"telephone_number": "724-949-0058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2595 INTERSTATE DR",
"address_2": "SUITE 103",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171109378",
"telephone_number": "800-370-3651",
"fax_number": "866-510-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURSEY",
"first_name": "KARL",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "WV",
"license": "584",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "PA",
"license": "PS015698",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS015698",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0164662000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS PROV NUM",
"identifier": "276844",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "khursey303498@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "227 Medical Park Dr Ste 103",
"city": "Bridgeport",
"state": "WV",
"country_code": "US",
"postal_code": "263308421",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "khursey303498@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "227 Medical Park Dr",
"city": "Bridgeport",
"state": "WV",
"country_code": "US",
"postal_code": "263308420",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.