Individual provider Active NPI

Julia Montllor Macedo, MD

  • Psychiatry Physician
  • Pittsburgh, PA
National Provider Identifier
1023428497
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD462940 Issued in PA
Practice address
4516 Browns Hill Rd
Pittsburgh, PA 15217-2917
Phone
(412) 422-7442
Fax
(412) 904-5025
NPI assigned
May 6, 2014
Last updated
Jul 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD462940 PA Primary

Addresses

Primary practice location

4516 Browns Hill Rd
Pittsburgh, PA 15217-2917

Mailing address

4516 Browns Hill Rd
Pittsburgh, PA 15217-2917
Phone (412) 422-7442

Other practice location 1

3811 OHara St
Pittsburgh, PA 15213-2561
Phone (412) 246-5320

Other practice location 2

103 Towne Square Way
Pittsburgh, PA 15227-3254
Phone (412) 422-7442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181002002322 PA Practitioner - Psychiatry 7517219520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
State University of New York at Stony Brook, School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Squirrel Hill Health CenterGroup PAC ID 2567473937, 19 clinicians

Practice addresses (Care Compare)

4516 Browns Hill Rd
Pittsburgh, PA 15217-2917
Phone (412) 722-7442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Squirrel Hill Health Center CurrentSince Aug 15, 2018 Accepting new patients
Squirrel Hill Health Center CurrentSince Aug 15, 2018 Accepting new patients

Locations

103 Towne Square Way
Pittsburgh, PA 15227
Phone (412) 422-7442

4516 Browns Hill Rd
Pittsburgh, PA 15217
Phone (412) 422-7442

Interoperability endpoints

  • Direct secure messaging: julia.macedo@direct.squirrelhillhealth.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1023428497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 BROWNS HILL RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172917",
            "telephone_number": "412-422-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 BROWNS HILL RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172917",
            "telephone_number": "412-422-7442",
            "fax_number": "412-904-5025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3811 OHara St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152132561",
            "country_code": "US",
            "telephone_number": "412-246-5320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Towne Square Way",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152273254",
            "country_code": "US",
            "telephone_number": "412-422-7442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACEDO",
        "first_name": "JULIA",
        "middle_name": "MONTLLOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD462940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.