| Spaulding Psychological Services | |
|
216 W North St Harrisville WV 26362-1047 | |
| (304) 643-5399 | |
| (304) 643-5398 |
| Full Name | Spaulding Psychological Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 216 W North St, Harrisville, West Virginia |
| Authorized Official Name and Position | Cynthia D Spaulding (OWNER) |
| Authorized Official Contact | 3046435399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spaulding Psychological Services 143 Virginia Ave Harrisville WV 26362-7465 Ph: (304) 643-5399 | Spaulding Psychological Services 216 W North St Harrisville WV 26362-1047 Ph: (304) 643-5399 |
| NPI Number | 1912913773 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 03/04/2014 |
| Medicare PECOS PAC ID | 9830196419 |
|---|---|
| Medicare Enrollment ID | O20061024000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912913773 | NPI | - | NPPES |
| 3810000741 | Medicaid | WV | |
| 001849704 | Other | WV | BLUECROSSBLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 017787 (West Virginia) | Primary |
| Provider Name | Cynthia D Spaulding |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1558378828 PECOS PAC ID: 4082610936 Enrollment ID: I20061017000083 |
| Provider Name | Amy K Guthrie |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1578699930 PECOS PAC ID: 4183719875 Enrollment ID: I20070926000547 |
| Provider Name | Patti June Archer Golden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871251579 PECOS PAC ID: 6305231044 Enrollment ID: I20220316002834 |
Brighter Day Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Mckinley Ave, Harrisville, WV 26362 Phone: 832-742-0117 |