Individual provider Active NPI

Lisa Ann Osachy, PSYD

  • Psychologist
  • Allison Park, PA
National Provider Identifier
1053322388
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS075484 Issued in PA
Practice address
4068 Mt Royal Blvd
Suite 125
Allison Park, PA 15101
Phone
(412) 492-0644
Fax
(412) 492-9906
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS075484 PA Primary

Addresses

Primary practice location

4068 Mt Royal Blvd
Suite 125
Allison Park, PA 15101

Mailing address

4323 Luster St
Pittsburgh, PA 15217-3041
Phone (412) 848-1923

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
I20110927000035 PA Practitioner - Clinical Psychologist 7618148529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upmc Advanced Practice ProvidersGroup PAC ID 4082836283, 22 clinicians

Practice addresses (Care Compare)

200 Lothrop St
Pittsburgh, PA 15213-2536
Phone (412) 864-0594

200 Lothrop Street Forbes Tower
Suite 10055 B
Pittsburgh, PA 15213-2536

4415 5TH Ave
Suite 160
Pittsburgh, PA 15213-2654
Phone (412) 246-5811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS075484PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Psychological Services Psychologist CurrentSince Aug 20, 2020 Accepting new patients
Upmc Advanced Practice Providers CurrentSince May 4, 2024 Accepting new patients
Upmc Advanced Practice Providers Current Accepting new patients
The Circulatory Center of PA, Inc. PastSince Aug 20, 2020 Accepting new patients
Associates in Behavioral Diagnostics and Treatment, LLC PastSince Feb 11, 2021 Accepting new patients

Locations

200 Lothrop St
Ste 10055B
Pittsburgh, PA 15213
Phone (412) 864-0594

1350 Old Freeport Rd
Ste 1A
Pittsburgh, PA 15238
Phone (412) 406-7734

300 Northpointe Cir
Ste 105
Seven Fields, PA 16046
Phone (412) 406-7734

Organizations & group practices 5

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1053322388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 LUSTER ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152173041",
            "telephone_number": "412-848-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4068 MT ROYAL BLVD",
            "address_2": "SUITE 125",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "15101",
            "telephone_number": "412-492-0644",
            "fax_number": "412-492-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSACHY",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS075484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allison Park, PA

Sources for this page

Verify at the official NPI Registry.