Active NPI
Camilla Von Stauffenberg, PH.D.
- Clinical Psychologist
- Pittsburgh, PA
National Provider Identifier
1124724851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS018870
- Practice address
- 5464 Northumberland St
Pittsburgh, PA 15217-1129 - Phone
- (412) 465-0622
- NPI assigned
- Feb 3, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PS018870 | PA | |
| Clinical Psychologist | 103TC0700X | PS018870 | PA | Primary |
Addresses
Primary practice location
5464 Northumberland St
Pittsburgh, PA 15217-1129
Mailing address
5464 Northumberland St
Pittsburgh, PA 15217-1129
Phone (412) 465-0622
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS018870 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1124724851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5464 NORTHUMBERLAND ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152171129",
"telephone_number": "412-465-0622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5464 NORTHUMBERLAND ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152171129",
"telephone_number": "412-465-0622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON STAUFFENBERG",
"first_name": "CAMILLA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-03",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "PA",
"license": "PS018870",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS018870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.