Shadyside Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS002382L Issued in PA

Legal business name

SHADYSIDE PSYCHOLOGICAL SERVICES

Practice address

5200 Centre Ave
Suite 514
Pittsburgh, PA 15232-1300

Phone

(412) 683-7396

Fax

(412) 682-0502

NPI assigned

Jan 13, 2009

Organization subpart

No

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

Authorized official

Name

Paul J Friday, PHDNPI 1982683165

Title

Owner

Phone

(412) 683-7396

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul J Friday, PH.D.

  • Clinical Psychologist
  • Pittsburgh, PA
  • NPI 1982683165
  NPD (past) Authorized official

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1043457013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 CENTRE AVE",
            "address_2": "SUITE 514",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321300",
            "telephone_number": "412-683-7396",
            "fax_number": "412-682-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 CENTRE AVE",
            "address_2": "SUITE 514",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321300",
            "telephone_number": "412-683-7396",
            "fax_number": "412-682-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADYSIDE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "FRIDAY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-683-7396",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS002382L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shadyside Cardiology Rotation PC
• Shadyside Cardiovascular, PLLC
• Shadyside Eye Associates. LLC
• Shadyside Nursing and Rehabilitation Center-Pittsburgh PA, LLC
• Shadyside Optical Associates LLC
• Shadyside SNF Healthcare LLC
• Shadyside Surgi-Center, Inc.
• Devon Shafer
• Debbie Ann Shaffer, LISW-S
• Edward Shaffer

• Clinical Psychologist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.