Active NPI
Karen A Dekleva-Rebottini, MASTERS
- Clinical Psychologist
- Murrysville, PA
National Provider Identifier
1124070776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS003084-L
- Practice address
- 4051 Old William Penn Hwy
Murrysville, PA 15668-1846 - Phone
- (724) 733-8313
- Fax
- (724) 733-8313
- NPI assigned
- May 16, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS003084-L | PA | Primary |
Addresses
Primary practice location
4051 Old William Penn Hwy
Murrysville, PA 15668-1846
Mailing address
4051 Old William Penn Hwy
Murrysville, PA 15668-1846
Phone (724) 733-8313
Other names 1
- Karen Dekleva
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS003084-L | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karen Dekleva Rebottini | Clinical | 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.
-
- Clinical Psychologist
- Murrysville, PA
- NPI 1790178812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190937600000",
"number": "1124070776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4051 OLD WILLIAM PENN HWY",
"city": "MURRYSVILLE",
"state": "PA",
"postal_code": "156681846",
"telephone_number": "724-733-8313",
"fax_number": "724-733-8313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4051 OLD WILLIAM PENN HWY",
"city": "MURRYSVILLE",
"state": "PA",
"postal_code": "156681846",
"telephone_number": "724-733-8313",
"fax_number": "724-733-8313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEKLEVA-REBOTTINI",
"first_name": "KAREN",
"middle_name": "A",
"credential": "MASTERS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2007-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS003084-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "DEKLEVA",
"credential": "MASTERS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Murrysville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.