Individual provider Active NPI

Victoria Terri Collin Dilmore, PHD

  • Psychologist
  • Pittsburgh, PA
National Provider Identifier
1225501398
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS018720 Issued in PA
Practice address
5701 Centre Ave Ste L12
Pittsburgh, PA 15206-3776
Phone
(412) 362-1470
Fax
(412) 362-1472
NPI assigned
Jan 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS018720 PA Primary

Addresses

Primary practice location

5701 Centre Ave Ste L12
Pittsburgh, PA 15206-3776

Mailing address

5701 Centre Ave Ste L12
Pittsburgh, PA 15206-3776
Phone (412) 362-1470

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS018720PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert F. Coufal PHD and Associates PC PastSince Nov 19, 2016 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1225501398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 CENTRE AVE STE L12",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063776",
            "telephone_number": "412-362-1470",
            "fax_number": "412-362-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 CENTRE AVE STE L12",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063776",
            "telephone_number": "412-362-1470",
            "fax_number": "412-362-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIN DILMORE",
        "first_name": "VICTORIA",
        "middle_name": "TERRI",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS018720",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 10, 2019; 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.