Active NPI
Adrienne A Bean, PSYD
- Psychologist
- Bridgeport, WV
National Provider Identifier
1891826517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1012
- Practice address
- 114 Thompson Dr
Bridgeport, WV 26330-1644 - Phone
- (304) 842-2975
- Fax
- (304) 842-2976
- NPI assigned
- Mar 7, 2007
- Last updated
- Dec 27, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1012 | WV | Primary |
Addresses
Primary practice location
114 Thompson Dr
Bridgeport, WV 26330-1644
Mailing address
PO Box 450
Scott Depot, WV 25560-0450
Phone (304) 760-6300
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1012 | WV | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestones Physical Therapy, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293408000000",
"number": "1891826517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 450",
"city": "SCOTT DEPOT",
"state": "WV",
"postal_code": "255600450",
"telephone_number": "304-760-6300",
"fax_number": "304-201-5123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 THOMPSON DR",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301644",
"telephone_number": "304-842-2975",
"fax_number": "304-842-2976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAN",
"first_name": "ADRIENNE",
"middle_name": "A",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2010-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WV",
"license": "1012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.