Kieran Giovannelli, LICENSEDPSYCHOLOGIST

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PS003728L Issued in PA

Practice address

712 South Ave
Wilkinsburg, PA 15221-2940

Phone

(412) 731-9707

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/milestonepa/r4/

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.

• Milestone Centers Inc.

  • Community/Behavioral Health Agency
  • Pittsburgh, PA
  • NPI 1841218757
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194740282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 ENDRESS DR",
            "city": "ZELIENOPLE",
            "state": "PA",
            "postal_code": "160631408",
            "telephone_number": "724-452-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 SOUTH AVE",
            "city": "WILKINSBURG",
            "state": "PA",
            "postal_code": "152212940",
            "telephone_number": "412-731-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOVANNELLI",
        "first_name": "KIERAN",
        "credential": "LICENSEDPSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS003728L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "PS003728L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rikell Shawntae Ford, LCSW
• Kelly Foreman, LCSW
• Arnold Freedman, PH.D.
• David Ross Freeman, MD
• Nicole Lynn Gannon, LPC
• Erica Lynn Givner, LCSW
• Shay Gonzales
• Juliette Gouirand, LPC, NCC
• Nicole Antionette Harris, LPC
• Devin Michael Hayostek, MSW, LSW

• All providers in Wilkinsburg, PA
• Counseling Psychologist in Pennsylvania

• 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.