Organization Active NPI

University Healthcare Physicians, Inc.

  • Clinical Psychologist
  • Martinsburg, WV
National Provider Identifier
1962806059
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
UNIVERSITY HEALTHCARE PHYSICIANS, INC.
Practice address
2004 Professional CT
Martinsburg, WV 25401-8808
Phone
(304) 596-5780
Fax
(304) 596-5781
NPI assigned
Oct 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Dr. Konrad C Nau, M.D.
Title
Ceo
Phone
(304) 264-9202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2004 Professional CT
Martinsburg, WV 25401-8808

Mailing address

2500 Foundation Way
Martinsburg, WV 25401-9000
Phone (304) 264-9202

National Provider Directory

National Provider Directory
Tax ID family
University Healthcare Physicians Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1962806059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 FOUNDATION WAY",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019000",
            "telephone_number": "304-264-9202",
            "fax_number": "304-264-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 PROFESSIONAL CT",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254018808",
            "telephone_number": "304-596-5780",
            "fax_number": "304-596-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HEALTHCARE PHYSICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "NAU",
        "authorized_official_first_name": "KONRAD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-264-9202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.