WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
NPI 1003665779
Psychologist in Martinsburg, WV

Active since May 15, 2024CLIA 51D2184870 · Waiver
198 S VIKING WAY, MARTINSBURG, WV 25401(304) 596-2899(304) 901-7045 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2026, May 15, 2024 (2 updates tracked since 2024).

About West Virginia University Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION (NPI 1003665779) is a healthcare organization registered as a psychologist in Martinsburg, West Virginia and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through May 26, 2028 and lists Justin Gibson, Vp, Finance, as its authorized official.

NPPES Registry Identity

NPI1003665779
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameWEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Location Address198 S VIKING WAYMartinsburg, WV 25401-5300
Mailing AddressPo Box 780Morgantown, WV 26507-0780 · (304) 285-7101 · Fax (304) 293-6963
Fax(304) 901-7045
Organization SubpartYes
Authorized OfficialJustin GibsonVp, Finance · (304) 598-4256
Enumeration DateMay 15, 2024
Last NPPES UpdateApril 28, 20262 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
NPI 1003665779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
198 S VIKING WAY, Martinsburg, WV 25401

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2184870

West Virginia University Medical Corporation D/B/A University Health Associates Behavioral Health · Martinsburg, WV
Active · expires May 26, 2028
CLIA Number51D2184870
Laboratory TypePhysician Office
Certificate Effective DateMay 27, 2026
Certificate Expiration DateMay 26, 2028
Laboratory DirectorDr. Michael Ang-Rabanes
Laboratory Phone(304) 596-2899
Laboratory LocationWest Virginia University Medical Corporation D/B/A University Health Associates Behavioral Health198 Viking Way, Martinsburg, WV 25401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
198 S VIKING WAY
MARTINSBURG, WV 25401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is West Virginia University Medical Corporation's NPI number?

The NPI number for West Virginia University Medical Corporation is 1003665779. It was assigned to this organization in the NPPES registry on May 15, 2024.

Where is West Virginia University Medical Corporation located?

West Virginia University Medical Corporation is located at 198 S Viking Way, Martinsburg, WV 25401. The listed phone number is (304) 596-2899.

What is West Virginia University Medical Corporation's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Does West Virginia University Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2184870) is associated with this NPI, valid through May 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for West Virginia University Medical Corporation was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.