STACEY WALLER PH.D.
NPI 1114990900
Psychologist - Clinical in Charleston, WV
NPI Status: Active since February 10, 2006
Contact Information
1097 FLEDDERJOHN RD STE 3
CHARLESTON, WV
ZIP 25314
Phone: (304) 345-0880
Fax: (304) 345-1112
- Individual
- Female
- Psychologist
- Clinical
About STACEY WALLER
This page provides the complete NPI Profile along with additional information for Stacey Waller, a provider established in Charleston, West Virginia with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1114990900 assigned on February 2006. The practitioner's primary taxonomy code is 103TC0700X with license number 891 (WV). The provider is registered as an individual and her NPI record was last updated 17 years ago.
- NPI
- 1114990900
- Provider Name
- STACEY WALLER PH.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1097 FLEDDERJOHN RD STE 3 CHARLESTON, WV 25314
- Location Phone
- (304) 345-0880
- Location Fax
- (304) 345-1112
- Mailing Address
- 1097 FLEDDERJOHN RD STE 3 CHARLESTON, WV 25314
- Mailing Phone
- (304) 345-0880
- Mailing Fax
- (304) 345-1112
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-10-2006
- Last Update Date
- 06-04-2008
- Code Navigator
A clinical psychologist like Stacey Waller assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 891
- License State
- WV
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q35571 | MEDICARE UPIN (02) | ||
| WACP30781 | MEDICARE ID-TYPE UNSPECIFIED (04) | WV | |
| 3810001772 | MEDICAID (05) | WV |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 9 | 9 | 0 | 9 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 18 | 9 | 0 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 1 + 8 + 9 + 0 + 9 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1114990900 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114990900, enumerated in the NPI registry as an "individual" on February 10, 2006
The provider is located at 1097 Fledderjohn Rd Ste 3 Charleston, Wv 25314 and the phone number is (304) 345-0880
The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on February 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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