Active NPI
Miyuki N. Ege, MA
- Clinical Psychologist
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1228
- Practice address
- 333 Laidley St FL 4E
Charleston, WV 25301-1614 - Phone
- (304) 766-4560
- Fax
- (304) 766-4599
- NPI assigned
- Jan 23, 2020
- Last updated
- Jan 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1228 | WV | Primary |
Addresses
Primary practice location
333 Laidley St FL 4E
Charleston, WV 25301-1614
Mailing address
4605 Maccorkle Ave SW Ofc
South Charleston, WV 25309-1311
Phone (304) 414-4800
Other practice location 1
500 Poplar St Ste 204
South Charleston, WV 25309-1472
Phone (304) 414-2895
Other practice location 2
333 Laidley St Fl 4W
Charleston, WV 25301-1614
Phone (304) 766-4560
Other names 1
- Miyuki Nakamura
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800
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
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| THS Physician Partners Inc | Current | Accepting new patients |
Locations
L3539
Columbus, OH 43260
Phone (304) 414-4800
333 Laidley St
Fl 4E
Charleston, WV 25301
Phone (304) 766-4560
333 Laidley St
Fl 4W
Charleston, WV 25301
Phone (304) 766-4560
100 Peyton Way
Ste 200
South Charleston, WV 25309
Phone (904) 638-6147
4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800
4605 Maccorkle Ave SW
Ofc
South Charleston, WV 25309
Phone (304) 414-4800
500 Poplar St
Ste 204
South Charleston, WV 25309
Phone (304) 414-2895
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.
-
- Internal Medicine Physician
- South Charleston, WV
- NPI 1871866806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1912537424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4605 MACCORKLE AVE SW OFC",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253091311",
"telephone_number": "304-414-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 LAIDLEY ST FL 4E",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253011614",
"telephone_number": "304-766-4560",
"fax_number": "304-766-4599"
}
],
"practiceLocations": [
{
"address_1": "500 Poplar St Ste 204",
"address_purpose": "LOCATION",
"city": "South Charleston",
"state": "WV",
"postal_code": "253091472",
"country_code": "US",
"telephone_number": "304-414-2895",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 Laidley St Fl 4W",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253011614",
"country_code": "US",
"telephone_number": "304-766-4560",
"fax_number": "304-766-4599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EGE",
"first_name": "MIYUKI",
"middle_name": "N.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-23",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WV",
"license": "1228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIYUKI",
"last_name": "NAKAMURA",
"credential": "MA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.