Mt. Lebanon Psychological Diagnostics, Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS 003752 Issued in PA

Legal business name

MT. LEBANON PSYCHOLOGICAL DIAGNOSTICS, INC

Practice address

1725 Washington Rd Ste 404-C
Pittsburgh, PA 15241-1207

Phone

(412) 833-7444

NPI assigned

May 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Allen Anthony Cobbett, PH.D.

Title

Clinical Director

Phone

(412) 833-7444

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Sharon L Ciocca, LCSW BCD

  • Clinical Social Worker
  • Pittsburgh, PA
  • NPI 1699829812
  NPD (past)

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083826481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 WASHINGTON RD STE 404-C",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411207",
            "telephone_number": "412-833-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 WASHINGTON RD STE 404-C",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411207",
            "telephone_number": "412-833-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. LEBANON PSYCHOLOGICAL DIAGNOSTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COBBETT",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "412-833-7444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS 003752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS",
            "identifier": "630666",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mt Oliver Dental
• Mt. Lebanon Chiropractic
• Mt. Lebanon Dermatology Associates, PC
• Mt. Lebanon Dermatology, PC
• Mt. Lebanon Operations LLC
• Mt. Lebanon Rehabilitation & Nursing LLC
• Mt. Lebanon Senior Care, LLC
• Mt. Oliver Ambulance Service
• Haifa Mtaweh, MD
• MTL Opco LLC

• Psychologist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.