MR. JOHN CARR TERRY


Address: 160 Undercliff Ter, Princeton, WV 24740-2174
Phone: 3044313010

MR. JOHN CARR TERRY (NPI# 1265415731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265415731
Entity Type Individual
Full Name MR. JOHN CARR TERRY
Credential MS
Practice Address 160 Undercliff Ter
Princeton
WV 24740-2174
Mailing Address 160 Undercliff
Princeton
WV 24740-2358
Practice Telephone 3044313010
Practice Fax Number 3044313011
Mailing Telephone 3044313010
Mailing Fax Number 3044313011
Enumeration Date 2005-11-29
Last Update Date 2012-05-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 468 WV Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WV 0163306000 05

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Office Location

Street Address 160 UNDERCLIFF TER
City PRINCETON
State WV
Zip Code 24740-2174

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194713446 Deborah Nolley Psychologist 160 Undercliff Ter, Princeton, WV 24740-2174 2005-10-11
1972713121 Chrysalis Inc Counselor 160 Undercliff Ter, Princeton, WV 24740-2174 2007-05-23
1669696589 New Hope Psychiatric Associates, PC Clinic/Center 160 Undercliff Ter, Princeton, WV 24740-2174 2007-04-12
1043396385 Twyla Mcguire Hersman Counselor 160 Undercliff Ter, Princeton, WV 24740-2174 2006-10-30
1164405791 Shanna Michele Autrey Physician Assistant 160 Undercliff Ter, Princeton, WV 24740-2174 2005-11-29

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NPI Name Taxonomy Address Enumeration
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1942661723 Virginia Chryssikos Social Worker 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 2016-03-08
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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1386876977 Anissa L Moody Psychologist 703 Blue Spring Rd, Princeton, NJ 08540-1636 2009-08-14
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Competitor

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City PRINCETON
Zip Code 24740

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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