Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588760771 Individual Practitioner Female Practitioner

Mari Sullivan Walker , MA LICENSED PSYCHO

Psychologist • Mullens, WV

Professional Overview & Biography Verified Profile Summary

Mari Walker, MA LICENSED PSYCHO is a registered healthcare professional specializing in Psychologist in Mullens, WV. Practice services are available at 102 HOWARD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

102 Howard Ave

Mullens, WV 258821419

Telephone 3042945353
Fax 3042948627
Associated Practice Facility / Clinic
🏢 Genoa Healthcare Llc Facility NPI 1578741872

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Mullens, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Mullens, WV (372 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License WV 203

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0005489002 (WV)
Medicaid State Provider ID
0005489001 (WV)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Amber Large , LSW

Case Manager/Care Coordinator

NPI 1053247940

Licensed Social Worker

Maria Shrewsberry , LPN

Licensed Practical Nurse

NPI 1174458871

Licensed Practical Nurse

Kayla Lilly , RBA

Case Manager/Care Coordinator

NPI 1386570059
Darold Colbird , BS

Case Manager/Care Coordinator

NPI 1396671871

Bachelor of Science

Jensyn Davis , BS

Case Manager/Care Coordinator

NPI 1427984376

Bachelor of Science

NPI 1578049151

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 11, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2013

Registered at 102 HOWARD AVE, MULLENS, WV 258821419 (Tel: 3042945353)

📍
Updated Business Mailing Address January 11, 2013

Registered at 200 12TH STREET EXT, PRINCETON, WV 247402329 (Tel: 3044259541)

👤
Provider Name / Credentials Updated January 11, 2013

Recorded as MARI WALKER, M.A. LICENSED PSYCHO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2013

Psychologist (License #203 in WV)

🟢
Initial NPI Registration & Enumeration September 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1588760771
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2006
Last Update: January 11, 2013
Sole Proprietor: No

Mailing Address

200 12th Street Ext

Princeton, WV 247402329

Phone: 3044259541

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.