Individual provider Active NPI

Kathleen Marie Kocherzat, PHD

  • Clinical Psychologist
  • Wexford, PA
National Provider Identifier
1093817066
Registry record updated Mar 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS007972L Issued in PA
Practice address
117 Vip Dr
Wexford, PA 15090-6932
Phone
(412) 494-8448
NPI assigned
Sep 1, 2006
Last updated
Mar 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS007972L PA Primary

Addresses

Primary practice location

117 Vip Dr
Wexford, PA 15090-6932

Mailing address

118 Richey Ave
Pittsburgh, PA 15214-2037
Phone (412) 231-6370

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
I20120606000144 PA Practitioner - Clinical Psychologist 9739343682 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS007972LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Directions Mental Health, PC Clinical CurrentSince Aug 1, 2022 Accepting new patients
Allegheny Mental Health Associates PC PastSince Sep 26, 2024 Accepting new patients

Locations

110 Hidden Valley Rd
McMurray, PA 15317
Phone (724) 941-4040

117 Vip Dr
Ste 310
Wexford, PA 15090
Phone 7249343905205

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1093817066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 RICHEY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152142037",
            "telephone_number": "412-231-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 VIP DR",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906932",
            "telephone_number": "412-494-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHERZAT",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS007972L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.