NPIMap

Organization Active NPI

West Virginia University

  • Psychologist
  • Morgantown, WV
National Provider Identifier
1952483422
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
151 Issued in WV
Legal business name
WEST VIRGINIA UNIVERSITY
Practice address
53 Campus Drive
Life Sciences Building
Morgantown, WV 26506-6040
Phone
(304) 293-2001
NPI assigned
Oct 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Fremouw
Title
Clinical Director
Phone
(304) 293-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 151 WV Primary

Addresses

Primary practice location

53 Campus Drive
Life Sciences Building
Morgantown, WV 26506-6040

Mailing address

53 Campus Drive
PO Box 6040
Morgantown, WV 26506-6040

National Provider Directory

National Provider Directory
Tax ID family
West Virginia University5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

53 Campus Dr
Morgantown, WV 26505
Phone (304) 293-2001

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952483422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 CAMPUS DRIVE",
            "address_2": "PO BOX 6040",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265066040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 CAMPUS DRIVE",
            "address_2": "LIFE SCIENCES BUILDING",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265066040",
            "telephone_number": "304-293-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VIRGINIA UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREMOUW",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "304-293-2001",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.