Active NPI
Cathy Lynn Caruthers, M.A.
- Clinical Psychologist
- Winfield, WV
National Provider Identifier
1932109899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- WV#608
- Practice address
- 175 Shawnee Est
Winfield, WV 25213-9709 - Phone
- (304) 545-0702
- NPI assigned
- Jul 21, 2005
- Last updated
- Sep 19, 2018
- 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 | WV#608 | WV | Primary |
Addresses
Primary practice location
175 Shawnee Est
Winfield, WV 25213-9709
Mailing address
175 Shawnee Est
Winfield, WV 25213-9709
Phone (304) 545-0702
Other practice location 1
1790 Winfield Rd
Winfield, WV 25213-9514
Phone (304) 759-2213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9201005000 | Medicaid | WV |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WV#608 | WV | MD | Clinical Psychologist |
| 608 | WV | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Behavioral Consultants, Inc. | Clinical | 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": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1932109899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 SHAWNEE EST",
"city": "WINFIELD",
"state": "WV",
"postal_code": "252139709",
"telephone_number": "304-545-0702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 SHAWNEE EST",
"city": "WINFIELD",
"state": "WV",
"postal_code": "252139709",
"telephone_number": "304-545-0702"
}
],
"practiceLocations": [
{
"address_1": "1790 Winfield Rd",
"address_purpose": "LOCATION",
"city": "Winfield",
"state": "WV",
"postal_code": "252139514",
"country_code": "US",
"telephone_number": "304-759-2213",
"fax_number": "304-759-2213",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARUTHERS",
"first_name": "CATHY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WV",
"license": "WV#608",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9201005000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winfield, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.