NPIMap

Organization Active NPI

Donald J. Zandier, Jr., PC

  • Psychologist
  • Bethel Park, PA
National Provider Identifier
1265760763
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS006051L Issued in PA
Legal business name
DONALD J. ZANDIER, JR., PC
Practice address
2940 S Park Rd
Suite 102
Bethel Park, PA 15102-1686
Phone
(412) 833-1800
Fax
(412) 833-1818
NPI assigned
Nov 23, 2009
Last updated
Dec 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Authorized official

Name
Mr. Donald J Zandier Jr., M.A.NPI 1275632069
Title
Psychologist
Phone
(412) 833-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PS006051L PA Primary

Addresses

Primary practice location

2940 S Park Rd
Suite 102
Bethel Park, PA 15102-1686

Mailing address

2940 S Park Rd
Suite 102
Bethel Park, PA 15102-1686
Phone (412) 833-1800

Other identifiers 1

IdentifierTypeStateIssuer
0014998880003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200929002804 PA Part B Supplier - Clinic/Group Practice 3577982230 Receives reassigned benefits from 9 practitioners
Practice locations: Bethel Park, PA

National Provider Directory

National Provider Directory

Locations

2940 S Park Rd
Ste 102
Bethel Park, PA 15102
Phone (412) 833-1800

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1265760763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 S PARK RD",
            "address_2": "SUITE 102",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021686",
            "telephone_number": "412-833-1800",
            "fax_number": "412-833-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 S PARK RD",
            "address_2": "SUITE 102",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021686",
            "telephone_number": "412-833-1800",
            "fax_number": "412-833-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD J. ZANDIER, JR., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "ZANDIER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "412-833-1800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006051L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014998880003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.