Healing Grove Psychological Services, LLC
NPI 1780399725ActiveOrganization· Psychologist· Fairmont, WV
Psychologist in Fairmont, West Virginia, registered in NPPES in January 2023. The authorized official on file is Matthew Craig Kellar, PSYD, Founder/Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780399725 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 13, 2023 |
| Last updated in NPPES | Feb 24, 2023 |
| Certified by provider | Feb 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (WV) |
|---|
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