Active NPI
Stephanie R McWilliams
- Clinical Psychologist
- Morgantown, WV
National Provider Identifier
1891521787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1352
- Practice address
- 1445 Stewartstown Rd Ste 200
Morgantown, WV 26505-3868 - Phone
- (304) 598-2300
- Fax
- (304) 598-2307
- NPI assigned
- Sep 9, 2024
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1352 | WV | Primary |
Addresses
Primary practice location
1445 Stewartstown Rd Ste 200
Morgantown, WV 26505-3868
Mailing address
1445 Stewartstown Rd Ste 200
Morgantown, WV 26505-3868
Phone (304) 598-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1352 | WV | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1891521787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 STEWARTSTOWN RD STE 200",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265053868",
"telephone_number": "304-598-2300",
"fax_number": "304-598-2307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 STEWARTSTOWN RD STE 200",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265053868",
"telephone_number": "304-598-2300",
"fax_number": "304-598-2307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCWILLIAMS",
"first_name": "STEPHANIE",
"middle_name": "R",
"name_prefix": "Prof.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WV",
"license": "1352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.