MEDITELECARE OF WEST VIRGINIA PLLC
NPI 1235631888
Psychologist - Clinical in Charleston, WV

Active since February 28, 2018
5098 WASHINGTON ST W STE 407, CHARLESTON, WV 25313(860) 788-6404 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2025, Sep 4, 2024, Aug 12, 2019 and 1 more (4 updates tracked since 2018).

About Meditelecare Of West Virginia Pllc NPPES

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

MEDITELECARE OF WEST VIRGINIA PLLC (NPI 1235631888) is a healthcare organization registered as a clinical in Charleston, West Virginia and active in the NPI registry since February 2018. The organization lists Andrea Godfrey, Credentialing & Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1235631888
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMEDITELECARE OF WEST VIRGINIA PLLC
Location Address5098 WASHINGTON ST W STE 407Charleston, WV 25313-1561
Mailing AddressPo Box 1595Middletown, CT 06457-8095 · (860) 788-6404 · Fax (860) 829-0495
Organization SubpartNo
Authorized OfficialAndrea GodfreyCredentialing & Enrollment Manager · (860) 398-6441
Enumeration DateFebruary 28, 2018
Last NPPES UpdateMay 5, 20254 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
NPI 1235631888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedNurse PractitionerTaxonomy 363L00000X
5098 WASHINGTON ST W STE 407, Charleston, WV 25313

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

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Psychiatric/Mental Health)
5098 WASHINGTON ST W STE 407
CHARLESTON, WV 25313
Nurse Practitioner (Psychiatric/Mental Health)
5098 WASHINGTON ST W STE 407
CHARLESTON, WV 25313
Nurse Practitioner (Psychiatric/Mental Health)
5098 WASHINGTON ST W STE 407
CHARLESTON, WV 25313

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 Meditelecare Of West Virginia PLLC's NPI number?

The NPI number for Meditelecare Of West Virginia PLLC is 1235631888. It was assigned to this organization in the NPPES registry on February 28, 2018.

Where is Meditelecare Of West Virginia PLLC located?

Meditelecare Of West Virginia PLLC is located at 5098 Washington St W Ste 407, Charleston, WV 25313. The listed phone number is (860) 788-6404.

What is Meditelecare Of West Virginia PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Meditelecare Of West Virginia PLLC accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Meditelecare Of West Virginia PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Meditelecare Of West Virginia PLLC was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.