Active NPI
Alice Buchdahl, M.D.
- Psychiatry Physician
- Pittsburgh, PA
National Provider Identifier
1083667620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD013055E
- Practice address
- 401 Shady Ave
D105
Pittsburgh, PA 15206-4409 - Phone
- (412) 361-2800
- Fax
- (412) 422-8807
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD013055E | PA | Primary |
Addresses
Primary practice location
401 Shady Ave
D105
Pittsburgh, PA 15206-4409
Mailing address
401 Shady Ave
D105
Pittsburgh, PA 15206-4409
Phone (412) 361-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112708 | Other | PA | HIGHMARK PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 23, 2016 through Mar 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD013055E | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1083667620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 SHADY AVE",
"address_2": "D105",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152064409",
"telephone_number": "412-361-2800",
"fax_number": "412-422-8807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 SHADY AVE",
"address_2": "D105",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152064409",
"telephone_number": "412-361-2800",
"fax_number": "412-422-8807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHDAHL",
"first_name": "ALICE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD013055E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK PROVIDER NUMBER",
"identifier": "112708",
"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 Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.