Individual provider Active NPI

Judy A Gettle, PH.D.

  • Clinical Psychologist
  • Pittsburgh, PA
National Provider Identifier
1225077845
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS006772L Issued in PA
Practice address
4716 Ellsworth Ave
Suite 105
Pittsburgh, PA 15213-2851
Phone
(412) 242-8707
Fax
(412) 242-4407
NPI assigned
Jun 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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
Clinical Psychologist 103TC0700X PS006772L PA Primary

Addresses

Primary practice location

4716 Ellsworth Ave
Suite 105
Pittsburgh, PA 15213-2851

Mailing address

4716 Ellsworth Ave
Suite 105
Pittsburgh, PA 15213-2851
Phone (412) 242-8707

Other identifiers 3

IdentifierTypeStateIssuer
1009737510001MedicaidPA
P00185527OtherPARAILROAD MEDICARE
158420OtherPAHIGHMARK BC BS

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)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225077845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 ELLSWORTH AVE",
            "address_2": "SUITE 105",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132851",
            "telephone_number": "412-242-8707",
            "fax_number": "412-242-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 ELLSWORTH AVE",
            "address_2": "SUITE 105",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132851",
            "telephone_number": "412-242-8707",
            "fax_number": "412-242-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GETTLE",
        "first_name": "JUDY",
        "middle_name": "A",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS006772L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009737510001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00185527",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC BS",
            "identifier": "158420",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, 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.