WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
NPI 1609624428
Psychologist - Clinical in Morgantown, WV

Q: What is West Virginia University Medical Corporation's specialty?

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

Active since May 07, 2024

6040 UNIVERSITY TOWN CENTRE DR, MORGANTOWN, WV 26501(855) 988-2273(304) 293-1216 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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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 1609624428) is a healthcare organization registered as a clinical in Morgantown, West Virginia and active in the NPI registry since May 2024. The organization lists Justin Gibson, Vp, Finance, as its authorized official.

NPPES Registry Identity

NPI1609624428

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameWEST VIRGINIA UNIVERSITY MEDICAL CORPORATION

Location Address6040 UNIVERSITY TOWN CENTRE DRMorgantown, WV 26501-2421

Mailing AddressPo Box 780Morgantown, WV 26507-0780 · (304) 285-7101 · Fax (304) 293-6963

Phone(855) 988-2273

Fax(304) 293-1216

Organization SubpartYes

Authorized OfficialJustin GibsonVp, Finance · (304) 598-4256

Enumeration DateMay 7, 2024

NPPES CertifiedMay 7, 2024

✔ NPI 1609624428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

6040 UNIVERSITY TOWN CENTRE DR, Morgantown, WV 26501

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

West Virginia University Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2,464

Medicare enrollment records show 2,464 clinicians reassign Medicare billing to West Virginia University Medical Corporation, which bills Medicare for the services they deliver. Of these, 34 practice at this address and 1,184 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 71

Nurse Practitioner551

Certified Registered Nurse Anesthetist (CRNA)159

Pediatric Medicine156

Internal Medicine146

Anesthesiology125

Family Practice110

Diagnostic Radiology104

Emergency Medicine96

63 other specialties1,017

Nearest to this location (20)

See all 2,464

Amir Abouelfetouh Elsehmawy, MD

Family Practice

NPI 1629741673