Individual provider Active NPI

Mario Fischetti, PHD

  • Psychoanalyst
  • Pittsburgh, PA
National Provider Identifier
1245459890
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
PS003283L Issued in PA
Practice address
258 42ND Street
Pittsburgh, PA 15201-2862
Phone
(412) 683-4060
Fax
(412) 683-4061
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X PS003283L PA Primary
Clinical Psychologist 103TC0700X PS003283L PA
Group Psychotherapy Psychologist 103TP2701X PS003283L PA

Addresses

Primary practice location

258 42ND Street
Pittsburgh, PA 15201-2862

Mailing address

258 42ND Street
Pittsburgh, PA 15201-2862
Phone (412) 683-4060

Other identifiers 1

IdentifierTypeStateIssuer
083122OtherPABLUE CROSS BLUE SHIELD PR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2013 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS003283LPAMDPsychoanalyst

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1245459890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 42ND STREET",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152012862",
            "telephone_number": "412-683-4060",
            "fax_number": "412-683-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 42ND STREET",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152012862",
            "telephone_number": "412-683-4060",
            "fax_number": "412-683-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHETTI",
        "first_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "PA",
            "license": "PS003283L",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS003283L",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "PA",
            "license": "PS003283L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PR",
            "identifier": "083122",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.