NPIMap

Organization Active NPI

Edgewood Psychological Practice, LLC

  • Psychologist
  • Pittsburgh, PA
National Provider Identifier
1083071666
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS017664 Issued in PA
Legal business name
EDGEWOOD PSYCHOLOGICAL PRACTICE, LLC
Practice address
121 Edgewood Ave
Suite 3
Pittsburgh, PA 15218-1593
Phone
(412) 888-9021
NPI assigned
Jan 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Dr. Rebecca Parker, PSYDNPI 1285988691
Title
Licensed Psychologist
Phone
(412) 888-9021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PS017664 PA Primary

Addresses

Primary practice location

121 Edgewood Ave
Suite 3
Pittsburgh, PA 15218-1593

Mailing address

121 Edgewood Ave
Suite 3
Pittsburgh, PA 15218-1593
Phone (412) 888-9021

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1083071666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EDGEWOOD AVE",
            "address_2": "SUITE 3",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181593",
            "telephone_number": "412-888-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 EDGEWOOD AVE",
            "address_2": "SUITE 3",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181593",
            "telephone_number": "412-888-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD PSYCHOLOGICAL PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "412-888-9021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017664",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 27, 2016; 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.