Organization Active NPI

Re-Centered Care

  • Clinical Psychologist
  • Sewickley, PA
National Provider Identifier
1033500814
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017631 Issued in PA
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

Updated by the provider on Apr 23, 2015

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.