Dormont Psychological Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PS 016547 Issued in PA

Legal business name

DORMONT PSYCHOLOGICAL SERVICES LLC

Practice address

3043 W Liberty Ave
Pittsburgh, PA 15216-2460

Phone

(412) 719-0957

Fax

(877) 742-6060

NPI assigned

Nov 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kim T Hoffman, PH.D.

Title

Licensed Clinical Psychologist

Phone

(412) 719-0957

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1205113404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3043 W LIBERTY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152162460",
            "telephone_number": "412-719-0957",
            "fax_number": "877-742-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 W LIBERTY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152162460",
            "telephone_number": "412-719-0957",
            "fax_number": "877-742-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORMONT PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "412-719-0957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PS 016547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022693840005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Wayne Dorey, MD
• Dominick Dorfeo
• Maya Ale'a Dorfman
• Michele Dorfsman
• Ander Dorken Gallastegi, M.D.
• Dormont Vision Center LLC
• Dormonts Hometown Pharmacy Inc
• William Raymond Dorn, L.P.C.
• Yan Dorneich
• Pavle Doroslovacki, MD

• Community/Behavioral Health Agency in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.