Individual provider Active NPI

Amy Diane Kleissas

  • Professional Counselor
  • Allison Park, PA
National Provider Identifier
1184664344
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC001422 Issued in PA
Practice address
Psychological Associates Inc
Ste 204
Allison Park, PA 15101
Phone
(412) 486-2948
Fax
(412) 486-5676
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC001422 PA Primary

Addresses

Primary practice location

Psychological Associates Inc
Ste 204
Allison Park, PA 15101

Mailing address

Psychological Associates Inc
Ste 204
Allison Park, PA 15101
Phone (412) 486-2948

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

State licenses

LicenseStateTypeSpecialty
LPC001422PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184664344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PSYCHOLOGICAL ASSOCIATES INC",
            "address_2": "STE 204",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "15101",
            "telephone_number": "412-486-2948",
            "fax_number": "412-486-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PSYCHOLOGICAL ASSOCIATES INC",
            "address_2": "STE 204",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "15101",
            "telephone_number": "412-486-2948",
            "fax_number": "412-486-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEISSAS",
        "first_name": "AMY",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "LPC001422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allison Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.