Individual provider Active NPI

Marla Somova, PH.D.

  • Psychologist
  • Pittsburgh, PA
National Provider Identifier
1063426039
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS015153 Issued in PA
Practice address
230 N Craig St
Suite B
Pittsburgh, PA 15213-1565
Phone
(412) 621-3777
Fax
(412) 622-7595
NPI assigned
Jul 27, 2006
Sex
Female
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 PS015153 PA Primary

Addresses

Primary practice location

230 N Craig St
Suite B
Pittsburgh, PA 15213-1565

Mailing address

230 N Craig St
Suite B
Pittsburgh, PA 15213-1565
Phone (412) 621-3777

Other identifiers 1

IdentifierTypeStateIssuer
1420059OtherPABC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS015153PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Existential-Dynamic Associates, LLC CurrentSince Nov 19, 2023 Accepting new patients
Mindful Pathways Psychotherapy, LLC PastSince Mar 11, 2025 Accepting new patients

Locations

160 N Craig St
Ste 104
Pittsburgh, PA 15213
Phone (304) 685-8000

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063426039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N CRAIG ST",
            "address_2": "SUITE B",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131565",
            "telephone_number": "412-621-3777",
            "fax_number": "412-622-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N CRAIG ST",
            "address_2": "SUITE B",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131565",
            "telephone_number": "412-621-3777",
            "fax_number": "412-622-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMOVA",
        "first_name": "MARLA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS015153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "1420059",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.