Nicole Fusca, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS018978 Issued in PA

Practice address

1350 Old Freeport Rd Ste 1a
Pittsburgh, PA 15238-3122

Phone

(412) 406-7734

Fax

(412) 406-7742

NPI assigned

Mar 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Summit Psychological ServicesGroup PAC ID 2264618792, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Summit Psychological Services

  • Psychologist
  • Pittsburgh, PA
  • NPI 1447555347
  Medicare reassignment Care Compare group NPD
• The Circulatory Center of PA, Inc.

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1053319871
  NPD (past)

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1154957975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 OLD FREEPORT RD STE 1A",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383122",
            "telephone_number": "412-406-7734",
            "fax_number": "412-406-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 OLD FREEPORT RD STE 1A",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383122",
            "telephone_number": "412-406-7734",
            "fax_number": "412-406-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSCA",
        "first_name": "NICOLE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PS018978",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tristan Furnary
• Amanda Furst, PA-C
• Andre Furtado
• Masashi Furukawa
• Wendy Fusan, CRNP
• Angela Marie Fusko
• J William Futrell, M.D.
• Zoe Marie Futules, D.O.
• Olivia Catherine Fyda
• Maddison Fyffe, MA, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.