Individual provider Active NPI

Walter J. Sigut

  • Psychologist
  • Uniontown, PA
National Provider Identifier
1073786570
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS001427L Issued in PA
Practice address
99 S Pennsylvania Ave
Uniontown, PA 15401-4236
Phone
(724) 430-0555
Fax
(724) 430-0966
NPI assigned
Apr 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS001427L PA Primary

Addresses

Primary practice location

99 S Pennsylvania Ave
Uniontown, PA 15401-4236

Mailing address

99 S Pennsylvania Ave
Uniontown, PA 15401-4236
Phone (724) 430-0555

Other identifiers 2

IdentifierTypeStateIssuer
0016247990001MedicaidPA
PS001427LOtherPAPSYCHOLOGIST

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PS001427LPAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1073786570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 S PENNSYLVANIA AVE",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014236",
            "telephone_number": "724-430-0555",
            "fax_number": "724-430-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 S PENNSYLVANIA AVE",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014236",
            "telephone_number": "724-430-0555",
            "fax_number": "724-430-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGUT",
        "first_name": "WALTER",
        "middle_name": "J.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS001427L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016247990001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST",
            "identifier": "PS001427L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.