Active NPI
Thomas Melvin Bell, LICENS PSYCHOLOGIST
- Psychologist
- Lost Creek, WV
National Provider Identifier
1942295654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 615
- Practice address
- 107 S Streetcar Way
Lost Creek, WV 26385 - Phone
- (304) 626-5737
- NPI assigned
- Sep 19, 2005
- Last updated
- Aug 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 615 | WV | Primary |
Addresses
Primary practice location
107 S Streetcar Way
Lost Creek, WV 26385
Mailing address
PO Box 4672
Star City, WV 26504-4672
Phone (304) 626-5737
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164541000 | Medicaid | WV | |
| 001710319 | Other | WV | BCBS |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 615 | WV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Psychological & Counseling Assoc Inc | Psychologist | Past | Accepting new patients |
| Family Matters Psychological Services PLLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychologist
- Lost Creek, WV
- NPI 1639384449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250035200000",
"number": "1942295654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4672",
"city": "STAR CITY",
"state": "WV",
"postal_code": "265044672",
"telephone_number": "304-626-5737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 S STREETCAR WAY",
"city": "LOST CREEK",
"state": "WV",
"postal_code": "26385",
"telephone_number": "304-626-5737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "THOMAS",
"middle_name": "MELVIN",
"name_prefix": "Mr.",
"credential": "LICENS PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2009-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WV",
"license": "615",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164541000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "001710319",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lost Creek, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.