Individual provider Active NPI

Cathy Lynn Caruthers, M.A.

  • Clinical Psychologist
  • Winfield, WV
National Provider Identifier
1932109899
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
WV#608 Issued in WV
Practice address
175 Shawnee Est
Winfield, WV 25213-9709
Phone
(304) 545-0702
NPI assigned
Jul 21, 2005
Last updated
Sep 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9201005000MedicaidWV

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

LicenseStateTypeSpecialty
WV#608WVMDClinical Psychologist
608WVMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.