Same

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SAME

Practice address

65 Woods Edge Rd Unit 6
Fort Ashby, WV 26719-9292

Phone

(442) 347-7045

NPI assigned

Apr 8, 2021

Organization subpart

Yes

Parent organization

NONEAs reported in NPPES

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

Authorized official

Name

Dr. Nicolas Nguh Santo, PSYD, MSCNPI 1508758327

Title

Psychologist & Social Worker

Phone

(442) 347-7045

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ASSOCIATION OF PSYCHOLOGICAL AND PSYCHIATRIC SERVICES Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicolas Nguh Santo

  • Home Health Aide
  • Morgantown, WV
  • NPI 1508758327
  NPD Authorized official

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1992385678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WOODS EDGE RD UNIT 6",
            "city": "FORT ASHBY",
            "state": "WV",
            "postal_code": "267199292",
            "telephone_number": "442-347-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WOODS EDGE RD UNIT 6",
            "city": "FORT ASHBY",
            "state": "WV",
            "postal_code": "267199292",
            "telephone_number": "442-347-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NONE",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "SANTO",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_middle_name": "NGUH",
        "authorized_official_title_or_position": "PSYCHOLOGIST & SOCIAL WORKER",
        "authorized_official_telephone_number": "442-347-7045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, MSC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RG092015619",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSOCIATION OF PSYCHOLOGICAL AND PSYCHIATRIC SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Potomac Valley Hospital of W VA , Inc
• Potomac Valley Hospital of W VA , Inc
• Julie Robertson
• Kloey R Robinette
• Jacqueline J Ross, PTA
• Savalot Phcy of Ft Ashby Inc
• Angela Saville
• Travis Senn
• Brandy Louise Shoemaker
• Rae Ann Smith, OTD, OTR/L

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Ashby, WV
• Providers in Fort Ashby, WV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.