Individual provider Active NPI

Robert F Coufal, PH.D.

  • Forensic Psychologist
  • Pittsburgh, PA
National Provider Identifier
1083830921
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
PS005360L Issued in PA
Practice address
5701 Centre Ave
Suite L-11
Pittsburgh, PA 15206-3744
Phone
(412) 362-1470
Fax
(412) 362-1472
NPI assigned
Apr 18, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X PS005360L PA Primary

Addresses

Primary practice location

5701 Centre Ave
Suite L-11
Pittsburgh, PA 15206-3744

Mailing address

5701 Centre Ave
Suite L-11
Pittsburgh, PA 15206-3744
Phone (412) 362-1470

Other identifiers 5

IdentifierTypeStateIssuer
207176OtherPAUPMC
1788380OtherPAPROMISE
621603OtherPAHIGHMARK
0000507OtherPACCBHO
116564OtherPAVALUE OPTIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031113000293 PA Practitioner - Clinical Psychologist 2062326242 Reassigns benefits to 1 organization
Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5701 Centre Ave
Suite L12
Pittsburgh, PA 15206-3776
Phone (412) 362-1470

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS005360LPAMDForensic Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert F. Coufal PHD and Associates PC Forensic CurrentSince Jul 29, 2016 Accepting new patients
Robert F Coufal PHD Forensic PastSince Sep 3, 2011 Accepting new patients

Locations

5701 Centre Ave
Ste L12
Pittsburgh, PA 15206
Phone (412) 362-1470

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1083830921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 CENTRE AVE",
            "address_2": "SUITE L-11",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063744",
            "telephone_number": "412-362-1470",
            "fax_number": "412-362-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 CENTRE AVE",
            "address_2": "SUITE L-11",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063744",
            "telephone_number": "412-362-1470",
            "fax_number": "412-362-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUFAL",
        "first_name": "ROBERT",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "PA",
            "license": "PS005360L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "207176",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROMISE",
            "identifier": "1788380",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "621603",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCBHO",
            "identifier": "0000507",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "116564",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.