MARI SULLIVAN WALKER INC (NPI# 1619073343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619073343 |
| Entity Type | Organization |
| Organization Name | MARI SULLIVAN WALKER INC |
| Practice Address |
Rt#10 Main Street Pineville WV 24874-0123 |
| Mailing Address |
Rt#10 Main Street P.o. Box 123 Pineville WV 24874-0123 |
| Practice Telephone | 3047329132 |
| Practice Fax Number | 3047326589 |
| Mailing Telephone | 3047329132 |
| Mailing Fax Number | 3047326589 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARI SULLIVAN WALKER (CEO) |
| Authorized Official Telephone | 3047329132 |
| Authorized Official Credential | LICENSED PSYCHOL |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | 203 | WV | Behavioral Health & Social Service Providers |
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
203 | WV | Behavioral Health & Social Service Providers |
| X | 103TC1900X |
Psychologist Specialization: Counseling |
203 | WV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0165341000 | 05 | |
| WV | PSYCHOLOGIST LICENSE | LICENSE # 203 | 01 |
| Street Address |
RT#10 MAIN STREET |
| City | PINEVILLE |
| State | WV |
| Zip Code | 24874-0123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999775 | Frankie Lynn Adkins | Technician | 91 Blackberry St, Pineville, WV 24874 | 2020-10-13 |
| 1104430313 | Leeann Mae Morgan | Technician | 457 Bowman Bottom Rd, Pineville, WV 24874 | 2020-09-04 |
| 1093329757 | Destiny Lafferty | Technician | 457 Bowman Bottom Rd., Pineville, WV 24874 | 2020-09-01 |
| 1942813027 | Jenny Marie Hatfield | Technician | 308 River View Ave, Pineville, WV 24874 | 2020-08-28 |
| 1124591920 | Ashley Nicole Lusk | Counselor | 438 River Drive, Pineville, WV 24874 | 2019-01-04 |
| 1174040604 | Walgreen Co | Pharmacy | 448 Appalachian Hwy, Pineville, WV 24874 | 2017-08-25 |
| 1265719256 | Stat Ems, LLC. | Non-emergency Medical Transport (VAN) | 84-b Main Ave, Pineville, WV 24874 | 2011-11-04 |
| 1225337652 | Omotayo Julieanne Aborisade | Pharmacist | Route 10, Main Strret, Pineville, WV 24874 | 2011-03-24 |
| 1609175520 | Irene B Menego | Pharmacist | 418 Applician Highway, Pineville, WV 24874 | 2011-03-17 |
| 1396989604 | Angela Kaye Cook | Psychologist | 483 Appalachian Highway, Suite 2, Pineville, WV 24874 | 2009-04-30 |
| Find all providers in zip 24874 | ||||
| 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 |
|---|---|---|---|---|
| 1154809754 | Adam Michael Lewis | Psychologist | Alexandria Va Health Care System, 2495 Shreveport Hwy, Psychology Service (116b), Pineville, LA 71360-4044 | 2018-08-06 |
| 1306376306 | Grace Community Health Center Inc | Psychologist | 239 Page School Rd, Pineville, KY 40977-8775 | 2017-06-13 |
| 1376072298 | Grace Community Health Center Inc | Psychologist | 9824 Us Highway 25 E, Pineville, KY 40977-8581 | 2017-06-05 |
| 1073802351 | Lantern Mental Health Inc | Psychologist | 438 R 10, Pineville, WV 24874-0274 | 2011-04-07 |
| 1134428469 | David Brandon Lawson | Psychologist | Rural Rt. 10 438 River Road, Pineville, WV 24874-0274 | 2011-03-25 |
| 1821020736 | James R Logan | Psychologist | 41 Lord of Lords Ave, Pineville, LA 71360-2113 | 2006-07-07 |
| 1659855716 | Danielle Nichole Newman | Psychologist | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2018-09-24 |
| 1467851931 | Lauren Mcmichael Vines | Psychologist | 2495 Shreveport Hwy # 71n, Pineville, LA 71360-4044 | 2014-08-20 |
| 1831220706 | Central La State Hospital | Psychologist | 242 W Shamrock Ave, Pineville, LA 71360-6450 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854124 | Marianna Linz | Psychologist | 1 John Marshall Dr Dept Of, Huntington, WV 25755-0003 | 2020-06-05 |
| 1063067882 | Mary Jo Cecil | Psychologist | 209 Brookshire Ln, Beckley, WV 25801-6729 | 2019-08-08 |
| 1003345943 | In Harmony Inc | Psychologist | 1027 Quarrier St, Charleston, WV 25301-2302 | 2017-06-05 |
| 1699223610 | Megan Holly Lawhon | Psychologist | 4407 Maccorkle Ave Se Ste 1, Charleston, WV 25304-2541 | 2016-09-19 |
| 1437507878 | Barbara H Romfo LLC | Psychologist | 321 Rogers St, Princeton, WV 24740-3639 | 2016-05-26 |
| 1831546316 | Lisa Marie Richards | Psychologist | 423 Old Mill Rd, Beckley, WV 25801-9557 | 2016-05-16 |
| 1639537798 | Alicia L Smith | Psychologist | 10 Hale St Ste 206, Charleston, WV 25301-2830 | 2016-02-04 |
| 1497125132 | Laura Bickett | Psychologist | 5158 Rt. 60 East, Suite 32, Huntington, WV 25705-2076 | 2015-10-06 |
| 1679959738 | Roy Harvey Tunick | Psychologist | 16 Regency Ct, Morgantown, WV 26505-3685 | 2015-07-30 |
| 1114302726 | Tonya Kay Greene | Psychologist | 106 Collinwood Dr, Oak Hill, WV 25901-3304 | 2015-07-24 |
| Find all providers with the same taxonomy | ||||
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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.