Active NPI
Russ Dunstan, LICENSE PSYCHOLOGIST
- Psychologist
- Greensburg, PA
National Provider Identifier
1023182847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS006500L
- Practice address
- 438 Pellis Rd Suite 101
Tim Bridges PHD & Associates Inc
Greensburg, PA 15601 - Phone
- (724) 850-7448
- Fax
- (724) 850-8143
- NPI assigned
- Nov 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS006500L | PA | Primary |
Addresses
Primary practice location
438 Pellis Rd Suite 101
Tim Bridges PHD & Associates Inc
Greensburg, PA 15601
Mailing address
406 Wood Duck Dr
Greensburg, PA 15601-3125
Phone (724) 552-2471
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1816763 | Other | PA | HIGHMARK BC BS |
| 1816569 | Other | PA | PREMIER HIGHMARK BC BS |
Other names 1
- Mr. Ralph F Dunstan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS006500L | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timothy Bridges and Assoc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cognitive & Behavioral Psychologist
- Greensburg, PA
- NPI 1225170129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023182847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 WOOD DUCK DR",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156013125",
"telephone_number": "724-552-2471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "438 PELLIS RD SUITE 101",
"address_2": "TIM BRIDGES PHD & ASSOCIATES INC",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "15601",
"telephone_number": "724-850-7448",
"fax_number": "724-850-8143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNSTAN",
"first_name": "RUSS",
"name_prefix": "Mr.",
"credential": "LICENSE PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS006500L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BC BS",
"identifier": "1816763",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMIER HIGHMARK BC BS",
"identifier": "1816569",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RALPH",
"last_name": "DUNSTAN",
"middle_name": "F",
"prefix": "MR.",
"credential": "LICENSE PSYCHOLOGIST",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Greensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.