Individual provider Active NPI

Anthony Carmen Diliscia, PHD

  • Psychologist
  • Pittsburgh, PA
National Provider Identifier
1043384860
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS005488L Issued in PA
Practice address
300 Penn Center Blvd
Suite 612
Pittsburgh, PA 15235-5507
Phone
(412) 829-2001
Fax
(412) 829-2016
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS005488L PA Primary

Addresses

Primary practice location

300 Penn Center Blvd
Suite 612
Pittsburgh, PA 15235-5507

Mailing address

300 Penn Center Blvd
Suite 612
Pittsburgh, PA 15235-5507
Phone (412) 829-2001

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
I20120214000625 PA Practitioner - Clinical Psychologist 9133387533 Reassigns benefits to 1 organization
Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Penn Ctr Blvd
Suite 612
Pittsburgh, PA 15235-5507
Phone (412) 829-2001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS005488LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vocational Services Psychologist CurrentSince Nov 3, 2015 Accepting new patients
Psych-Med Associates Inc Past Accepting new patients

Locations

350 N Main St
#1
Butler, PA 16001

350 N Main St
Butler, PA 16001
Phone (724) 287-5604

115 E North St
New Castle, PA 16101
Phone (323) 384-6860

76 Jefferson Ave
Sharon, PA 16146
Phone (724) 982-4790

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/vpsdocs/r4/

Organizations & group practices 2

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043384860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PENN CENTER BLVD",
            "address_2": "SUITE 612",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355507",
            "telephone_number": "412-829-2001",
            "fax_number": "412-829-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PENN CENTER BLVD",
            "address_2": "SUITE 612",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355507",
            "telephone_number": "412-829-2001",
            "fax_number": "412-829-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILISCIA",
        "first_name": "ANTHONY",
        "middle_name": "CARMEN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS005488L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.