Individual provider Active NPI

Michael P Marshal, PHD

  • Clinical Psychologist
  • Pittsburgh, PA
National Provider Identifier
1033314018
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016055 Issued in PA
Practice address
401 Shady Ave Ste A205
Pittsburgh, PA 15206-4450
Phone
(412) 616-3432
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Psychologist 103T00000X PS016055 PA
Clinical Child & Adolescent Psychologist 103TC2200X PS016055 PA
Clinical Psychologist 103TC0700X PS016055 PA Primary

Addresses

Primary practice location

401 Shady Ave Ste A205
Pittsburgh, PA 15206-4450

Mailing address

401 Shady Ave Ste A205
Pittsburgh, PA 15206-4450
Phone (412) 616-3432

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090819000648 PA Practitioner - Clinical Psychologist 2769536135 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Mental Health and Wellness LLC CurrentSince Apr 20, 2025 Accepting new patients

Locations

401 Shady Ave
Ste A205
Pittsburgh, PA 15206
Phone (412) 362-4999

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1033314018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SHADY AVE STE A205",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064450",
            "telephone_number": "412-616-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SHADY AVE STE A205",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064450",
            "telephone_number": "412-616-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHAL",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016055",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS016055",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.