Active NPI
Re-Centered Care
- Clinical Psychologist
- Sewickley, PA
National Provider Identifier
1033500814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS017631
- Legal business name
- RE-CENTERED CARE
- Practice address
- 618 Beaver St
Suite #104
Sewickley, PA 15143-1906 - Phone
- (412) 564-4788
- Fax
- (855) 649-1932
- NPI assigned
- Feb 14, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Scott Black, PH.D.
- Title
- Licensed Clinical Psychologist
- Phone
- (412) 564-4788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS017631 | PA | Primary |
Addresses
Primary practice location
618 Beaver St
Suite #104
Sewickley, PA 15143-1906
Mailing address
PO Box 215
Sewickley, PA 15143-0215
Phone (412) 564-4788
National Provider Directory
National Provider DirectoryLocations
618 Beaver St
Ste 104
Sewickley, PA 15143
Phone (412) 564-4788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429747200000",
"number": "1033500814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 215",
"city": "SEWICKLEY",
"state": "PA",
"postal_code": "151430215",
"telephone_number": "412-564-4788",
"fax_number": "855-649-1932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 BEAVER ST",
"address_2": "SUITE #104",
"city": "SEWICKLEY",
"state": "PA",
"postal_code": "151431906",
"telephone_number": "412-564-4788",
"fax_number": "855-649-1932"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RE-CENTERED CARE",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-14",
"last_updated": "2015-04-23",
"status": "A",
"authorized_official_last_name": "BLACK",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "412-564-4788",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS017631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sewickley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.