Organization Active NPI

Eric J Dech PHD PC

  • Community/Behavioral Health Agency
  • Cranberry TWP, PA
National Provider Identifier
1023637584
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ERIC J DECH PHD PC
Practice address
215 Executive Dr Ste 102
Cranberry TWP, PA 16066-6408
Phone
(724) 816-0580
Fax
(724) 776-5611
NPI assigned
Apr 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Authorized official

Name
Eric J Dech, PHDNPI 1306984901
Title
Owner
Phone
(724) 816-0580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

215 Executive Dr Ste 102
Cranberry TWP, PA 16066-6408

Mailing address

215 Executive Dr Ste 102
Cranberry TWP, PA 16066-6408
Phone (724) 816-0580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200501000318 PA Part B Supplier - Clinic/Group Practice 6305276577 Receives reassigned benefits from 1 practitioner
Practice locations: Cranberry Township, PA

National Provider Directory

National Provider Directory

Locations

215 Executive Dr
Ste 102
Cranberry Twp, PA 16066
Phone (724) 766-3620

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1023637584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 EXECUTIVE DR STE 102",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666408",
            "telephone_number": "724-816-0580",
            "fax_number": "724-776-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 EXECUTIVE DR STE 102",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666408",
            "telephone_number": "724-816-0580",
            "fax_number": "724-776-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC J DECH PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "DECH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-816-0580",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.