GREENBRIER COUNTY DAY REPORT (NPI# 1508306978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508306978 |
| Entity Type | Organization |
| Organization Name | GREENBRIER COUNTY DAY REPORT |
| Practice Address |
267 Dawkins Dr Lewisburg WV 24901-9674 |
| Practice Telephone | 3046471389 |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2017-03-03 |
| Authorized Official Name | LAURA LEGG (DIRECTOR) |
| Authorized Official Telephone | 3046471389 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
267 DAWKINS DR |
| City | LEWISBURG |
| State | WV |
| Zip Code | 24901-9674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093940 | Amy Lu Moss | Technician | 254 Moss D Lane, Fairlea, WV 24901 | 2020-11-04 |
| 1083212377 | Miranda Shope | Technician | 814 Maple Ave., Lewisburg, WV 24901 | 2020-10-09 |
| 1184235830 | Carol E Beasley | Technician | 147 Windy Hill Road, Lewisburg, WV 24901 | 2020-08-14 |
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1821655390 | Janet Lee Kowalsky | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St., Lewisburg, WV 24901 | 2019-05-21 |
| 1598321192 | Ali Yousaf | Student in an Organized Health Care Education/Training Program | 400 North Jefferson, Lewisburg, WV 24901 | 2019-05-20 |
| 1770053308 | Micheala Renae Taylor | Student in an Organized Health Care Education/Training Program | 1464 North Jefferson Street, Lewisburg, WV 24901 | 2018-11-27 |
| 1659840486 | Maggie King Clendenen | Nurse Practitioner | 454 Bell Drive, Lewisburg, WV 24901 | 2018-11-22 |
| 1861979312 | Vincent Morra | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-26 |
| Find all providers in zip 24901 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437788577 | Marina Shafran | Psychologist | 219 Lamplight Ln, Lewisburg, PA 17837-9788 | 2020-04-01 |
| 1518451822 | Dianna Banks Phd LLC | Psychologist | 23 N Derr Dr Ste 26, Lewisburg, PA 17837-1324 | 2018-06-20 |
| 1447523147 | Douglas Edward Contri | Psychologist | 153 Ridgeway Dr, Lewisburg, PA 17837-9235 | 2012-02-12 |
| 1316276496 | David F. Samsock | Psychologist | 324 Church Street, Lewisburg, WV 24901-1925 | 2009-12-18 |
| 1992944854 | Michael J. Pinkowski | Psychologist | 1006 Betty Ln, Lewisburg, PA 17837-9526 | 2009-02-16 |
| 1639345135 | Teresa Carlene Samsock | Psychologist | 203 S Jefferson St. Suite E, Lewisburg, WV 24901 | 2008-05-05 |
| 1467659680 | Judith Lucas | Psychologist | 102 Goheen St, Lewisburg, WV 24901-1600 | 2007-06-29 |
| 1235351396 | Christina Berchock Shook | Psychologist | 260 Reitz Blvd Ste 1d, Lewisburg, PA 17837-9220 | 2007-05-02 |
| 1407900806 | Sharon Lee Silberman | Psychologist | 305 Verna Road, Lewisburg, PA 17837-7027 | 2007-01-22 |
| 1730140302 | Jacqueline Belle Sallade | Psychologist | 1917 Jefferson Av, Lewisburg, PA 17837-0487 | 2006-03-31 |
| Find all providers in LEWISBURG | ||||
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| 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.