Resilient Youth, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

RESILIENT YOUTH, PLLC

Practice address

402 Church St Ste 2
Summersville, WV 26651-1495

Phone

(304) 719-9701

NPI assigned

Jun 15, 2023

Last updated

Aug 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Myra M MooreNPI 1154673184

Title

Owner/School Psychologist

Phone

(304) 719-9701

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Myra Marie Moore

  • Psychologist
  • Summersville, WV
  • NPI 1154673184
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1932884186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211",
            "city": "MOUNT NEBO",
            "state": "WV",
            "postal_code": "266790211",
            "telephone_number": "304-719-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 CHURCH ST STE 2",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511495",
            "telephone_number": "304-719-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT YOUTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MYRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/SCHOOL PSYCHOLOGIST",
        "authorized_official_telephone_number": "304-719-9701"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ramsay, MD
• Tammy W Ray
• Jessica Ann Reigel, APRN
• Rem West Virginia, LLC
• Rescare
• Amanda Marie Rexrode, PRSS
• Thomas Reynolds, CRNA
• Dreama Rice
• Leanna Mae Rice, LPN
• Rachel Richardson, APRN, PMHNP-BC

• Psychologist in Summersville, WV
• Providers in Summersville, WV by specialty
• Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.