Individual provider Active NPI

Gerrian M Bobrowsky, PHD

  • Psychologist
  • Pittsburgh, PA
National Provider Identifier
1174550529
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3580-L Issued in PA
Practice address
615 Washington Rd
Suite #515
Pittsburgh, PA 15228-1901
Phone
(412) 561-2121
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3580-L PA Primary

Addresses

Primary practice location

615 Washington Rd
Suite #515
Pittsburgh, PA 15228-1901

Mailing address

615 Washington Rd
Suite #515
Pittsburgh, PA 15228-1901
Phone (412) 561-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2015 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3580-LPAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174550529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 WASHINGTON RD",
            "address_2": "SUITE #515",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281901",
            "telephone_number": "412-561-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 WASHINGTON RD",
            "address_2": "SUITE #515",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281901",
            "telephone_number": "412-561-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBROWSKY",
        "first_name": "GERRIAN",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "3580-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.