Active NPI
Catherine L Abernathy, PH.D.
- Psychologist
- Secondcreek, WV
National Provider Identifier
1962536383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 911
- Practice address
- RR 2 Box 88I
Secondcreek, WV 24974-9730 - Phone
- (304) 772-5856
- NPI assigned
- Mar 15, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | 911 | WV | Primary |
Addresses
Primary practice location
RR 2 Box 88I
Secondcreek, WV 24974-9730
Mailing address
RR 2 Box 88I
Secondcreek, WV 24974-9730
Phone (304) 772-5856
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810004266 | 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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 911 | WV | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962536383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 2 BOX 88I",
"city": "SECONDCREEK",
"state": "WV",
"postal_code": "249749730",
"telephone_number": "304-772-5856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 2 BOX 88I",
"city": "SECONDCREEK",
"state": "WV",
"postal_code": "249749730",
"telephone_number": "304-772-5856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABERNATHY",
"first_name": "CATHERINE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WV",
"license": "911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810004266",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.