West Virginia University Medical Corporation
NPI 1457100331ActiveOrganization· Psychologist· Shepherdstown, WV
Psychologist in Shepherdstown, West Virginia, registered in NPPES in May 2024, part of West Virginia University Medical Corporation. The authorized official on file is Justin Gibson, Vp, Finance.
Overview
| NPI | 1457100331 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | West Virginia University Medical Corporation |
| NPI issued | May 14, 2024 |
| Last updated in NPPES | May 14, 2024 |
| Certified by provider | May 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
| Psychologist, Clinical | 103TC0700X | — | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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