Active NPI
Ted Robert Dorfman, PHD
- Psychologist
- Greensburg, PA
National Provider Identifier
1093514143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS-004780-L
- Practice address
- 1602 Broad St
Greensburg, PA 15601-5478 - Phone
- (724) 454-2209
- NPI assigned
- Mar 11, 2025
- Last updated
- Mar 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS-004780-L | PA | Primary |
Addresses
Primary practice location
1602 Broad St
Greensburg, PA 15601-5478
Mailing address
1602 Broad St
Greensburg, PA 15601-5478
Phone (724) 454-2209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250515000260 | PA | Practitioner - Psychologist Billing Independently | 1951829894 | Practice locations: Greensburg, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS-004780-L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1093514143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 BROAD ST",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156015478",
"telephone_number": "724-454-2209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 BROAD ST",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156015478",
"telephone_number": "724-454-2209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORFMAN",
"first_name": "TED",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-11",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS-004780-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.