Santilli Psychological and Wellness Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS015111 Issued in PA

Legal business name

SANTILLI PSYCHOLOGICAL AND WELLNESS SERVICES, LLC

Practice address

3535 Route 130
Suite 2, Lower Level
Irwin, PA 15642-2143

Phone

(412) 378-1058

Fax

(412) 246-9383

NPI assigned

Apr 8, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Santilli, PSY.D.

Title

Owner and Psychologist

Phone

(412) 378-1058

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1134562325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 BRANDYWINE DR",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156429225",
            "telephone_number": "412-378-1058",
            "fax_number": "412-246-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 ROUTE 130",
            "address_2": "SUITE 2, LOWER LEVEL",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156422143",
            "telephone_number": "412-378-1058",
            "fax_number": "412-246-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTILLI PSYCHOLOGICAL AND WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "SANTILLI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER AND PSYCHOLOGIST",
        "authorized_official_telephone_number": "412-378-1058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PA",
            "license": "PS015111",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA056569",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Samo
• Ashley M Sanchez, PA-C
• Daniel Jose Sanchez, PA-C
• Elizabeth Sanders
• Linda P Santamaria, RPH
• Tad Pierre Santos, ABD, LPC, NCP
• Kelli Sarocky, PA
• Rachel Saunders, OTR
• Lindsay N Scala, PA-C
• Erin Scheib-Hoffer

• Clinical Psychologist in Irwin, PA
• Providers in Irwin, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.