Individual provider Active NPI

Ronald Gaston Jalbert, PH.D.

  • Psychologist
  • Pittsburgh, PA
National Provider Identifier
1083831333
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS004809L Issued in PA
Practice address
4716 Ellsworth Ave
Suite 211
Pittsburgh, PA 15213-2851
Phone
(412) 683-8856
Fax
(412) 781-6820
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS004809L PA Primary

Addresses

Primary practice location

4716 Ellsworth Ave
Suite 211
Pittsburgh, PA 15213-2851

Mailing address

4716 Ellsworth Ave
Suite 211
Pittsburgh, PA 15213-2851
Phone (412) 683-8856

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
I20111227000225 PA Practitioner - Clinical Psychologist 5395911291 Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Pittsburgh School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4716 Ellsworth Ave
Pittsburgh, PA 15213-2842
Phone (412) 683-8836

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS004809LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
R G Jalbert, Inc. Psychologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083831333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 ELLSWORTH AVE",
            "address_2": "SUITE 211",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132851",
            "telephone_number": "412-683-8856",
            "fax_number": "412-781-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 ELLSWORTH AVE",
            "address_2": "SUITE 211",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132851",
            "telephone_number": "412-683-8856",
            "fax_number": "412-781-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALBERT",
        "first_name": "RONALD",
        "middle_name": "GASTON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS004809L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.