Organization Active NPI

Psychology and Learning Center

  • Clinical Child & Adolescent Psychologist
  • Monaca, PA
National Provider Identifier
1104993864
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
PSYCHOLOGY AND LEARNING CENTER
Practice address
3428 Brodhead Rd
Monaca, PA 15061
Phone
(724) 728-6670
Fax
(724) 728-5570
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Authorized official

Name
Dr. Gary Koch, PH.D.
Title
Psychologist
Phone
(724) 728-6670

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

3428 Brodhead Rd
Monaca, PA 15061

Mailing address

3428 Brodhead Rd
Monaca, PA 15061-3132
Phone (724) 728-6670

Other practice location 1

337 3rd St
Beaver, PA 15009-2302
Phone (724) 728-6670

Other practice location 2

500 Market St
Beaver, PA 15009-2998
Phone (724) 728-6670

Other practice location 3

500 Market St
Beaver, PA 15009-2998
Phone (724) 728-6670

National Provider Directory

National Provider Directory

Locations

337 3rd St
Beaver, PA 15009
Phone (412) 728-6670

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1104993864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 BRODHEAD RD",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150613132",
            "telephone_number": "724-728-6670",
            "fax_number": "724-728-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3428 BRODHEAD RD",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "15061",
            "telephone_number": "724-728-6670",
            "fax_number": "724-728-5570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "337 3rd St",
            "address_purpose": "LOCATION",
            "city": "Beaver",
            "state": "PA",
            "postal_code": "150092302",
            "country_code": "US",
            "telephone_number": "724-728-6670",
            "fax_number": "724-728-5570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Market St",
            "address_purpose": "LOCATION",
            "city": "Beaver",
            "state": "PA",
            "postal_code": "150092998",
            "country_code": "US",
            "telephone_number": "724-728-6670",
            "fax_number": "724-728-5570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Market St",
            "address_purpose": "LOCATION",
            "city": "Beaver",
            "state": "PA",
            "postal_code": "150092998",
            "country_code": "US",
            "telephone_number": "724-728-6670",
            "fax_number": "724-728-5570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PSYCHOLOGY AND LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "724-728-6670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monaca, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.