Individual provider Active NPI

Alin J Severance, M.D.

  • Psychiatry Physician
  • Bridgeville, PA
National Provider Identifier
1033317938
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD439191 Issued in PA
Practice address
1370 Washington Pike
Suite 303
Bridgeville, PA 15017-2862
Phone
(412) 206-0123
Fax
(412) 206-0128
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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 MD439191 PA Primary

Addresses

Primary practice location

1370 Washington Pike
Suite 303
Bridgeville, PA 15017-2862

Mailing address

1370 Washington Pike
Suite 303
Bridgeville, PA 15017-2862
Phone (412) 206-0123

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
I20110621000365 PA Practitioner - Psychiatry 5991983058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Columbia University College of Physicians and Surgeons, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware County Professional Services, IncGroup PAC ID 2668436692, 276 clinicians

Practice addresses (Care Compare)

230 N Craig St
Suite B
Pittsburgh, PA 15213-1569
Phone (412) 621-3777

780 E Market St
West Chester, PA 19382-4882
Phone (610) 892-3800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Professional Services, Inc Psychiatry CurrentSince Aug 6, 2023 Accepting new patients

Locations

1370 Washington Pike
Ste 303
Bridgeville, PA 15017
Phone (412) 206-0123

1055 E Baltimore Pike
Ste 300
Media, PA 19063
Phone (253) 346-0020

230 N Craig St
Ste B
Pittsburgh, PA 15213
Phone (412) 621-3777

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.alinseverance@141748.advancedmd-direct.com

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1033317938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 WASHINGTON PIKE",
            "address_2": "SUITE 303",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172862",
            "telephone_number": "412-206-0123",
            "fax_number": "412-206-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 WASHINGTON PIKE",
            "address_2": "SUITE 303",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172862",
            "telephone_number": "412-206-0123",
            "fax_number": "412-206-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERANCE",
        "first_name": "ALIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD439191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

Verify at the official NPI Registry.