DR. IAN STUART KELLEMS (NPI# 1700063054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700063054 |
| Entity Type | Individual |
| Full Name | DR. IAN STUART KELLEMS |
| Credential | PH.D. |
| Practice Address |
1062 Maple Dr Suite1 Morgantown WV 26505-0809 |
| Practice Telephone | 3045995751 |
| Practice Fax Number | 3045992124 |
| Mailing Telephone | 3045995751 |
| Mailing Fax Number | 3045992124 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 960 | WV | Behavioral Health & Social Service Providers |
| Street Address |
1062 MAPLE DR SUITE1 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-0809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083686802 | Tandy J Mcclung | Psychologist | 1062 Maple Dr, Suite 1, Morgantown, WV 26505-0809 | 2006-02-06 |
| 1679914378 | Regina Burgess Carrick | Counselor | 1062 Maple Dr, Suite 1, Morgantown, WV 26505-0809 | 2013-07-10 |
| 1356564728 | Judith Smith Wilkinson | Counselor | 1062 Maple Dr, Suite 1, Morgantown, WV 26505-2815 | 2007-04-11 |
| 1346206281 | Ellen Mcbride | Counselor | 1062 Maple Dr, Suite 1, Morgantown, WV 26505-2815 | 2006-04-20 |
| 1124097456 | Lisa C Hamilton | Psychologist | 1062 Maple Dr, Suite 1, Morgantown, WV 26505-2815 | 2006-03-17 |
| 1679540876 | George D Moses | Counselor | 1062 Maple Dr, Suite 1, Morgantown, WV 26505-2815 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| 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 |
|---|---|---|---|---|
| 1679959738 | Roy Harvey Tunick | Psychologist | 16 Regency Ct, Morgantown, WV 26505-3685 | 2015-07-30 |
| 1407101249 | Jeffrey Allen Hammond | Psychologist | 1286 Suncrest Towne Centre, Morgantown, WV 26505-0001 | 2012-07-18 |
| 1386854552 | Louise Cormier | Psychologist | 40 Antietam Dr, Morgantown, WV 26508-9005 | 2007-05-23 |
| 1770791295 | Peter Joseph Kahn | Psychologist | Carruth Center for Counseling, College Ave., Rm 303 Student Services Center Building, Morgantown, WV 26506-6422 | 2007-05-18 |
| 1861604050 | Kostka Associates Pllc | Psychologist | 1459 N Willey St, Morgantown, WV 26505-5236 | 2007-05-03 |
| 1790804854 | Thomasina Anne Hawkins | Psychologist | 1224b Pineview Dr, Morgantown, WV 26505-2714 | 2007-03-28 |
| 1457479875 | Cassie Lynn Hornbeck Maxwell | Psychologist | 3000 Coombs Farm Rd Ste 102, Morgantown, WV 26508-1190 | 2007-03-26 |
| 1255477899 | Linda Marie Sandel Pettit | Psychologist | 1445 Stewartstown Rd Ste 150, Morgantown, WV 26505-2949 | 2007-01-30 |
| 1619022084 | C&e Consulting Pllc | Psychologist | 630 Vista Pl, Morgantown, WV 26505-2467 | 2007-01-24 |
| 1154478667 | Kathleen J Kahn | Psychologist | 2567 University Ave, Suite 3025, Morgantown, WV 26505-4502 | 2007-01-05 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
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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.