West Virginia University Medical Corporation
NPI 1619725157ActiveOrganization· Psychologist· Martinsburg, WV
Psychologist in Martinsburg, 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 | 1619725157 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | West Virginia University Medical Corporation |
| NPI issued | May 9, 2024 |
| Last updated in NPPES | May 9, 2024 |
| Certified by provider | May 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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