Individual provider Active NPI

Cynthia Elizabeth Peterson-Handley, PH.D.

  • Psychologist
  • Murrysville, PA
National Provider Identifier
1285782391
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS 007661-L Issued in PA
Practice address
4047 Old William Penn Hwy
Murrysville, PA 15668-1846
Phone
(412) 389-5043
NPI assigned
Jan 8, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS 007661-L PA Primary

Addresses

Primary practice location

4047 Old William Penn Hwy
Murrysville, PA 15668-1846

Mailing address

4047 Old William Penn Hwy
Murrysville, PA 15668
Phone (724) 327-8306

Other practice location 1

4100 William Penn Hwy
Murrysville, PA 15668-1879
Phone (724) 327-8306

Other practice location 2

4100 William Penn Hwy
Murrysville, PA 15668-1879
Phone (724) 327-8306

Other identifiers 2

IdentifierTypeStateIssuer
01824762MedicaidPA
654605OtherPAMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040928000239 PA Practitioner - Clinical Psychologist 8820067887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3830 Old William Penn Hwy
Murrysville, PA 15668-1850
Phone (412) 389-5043

4047 Old William Penn Hwy
Murrysville, PA 15668-1920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS 007661-LPAMDPsychologist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1285782391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4047 OLD WILLIAM PENN HWY",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "15668",
            "telephone_number": "724-327-8306",
            "fax_number": "724-325-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4047 OLD WILLIAM PENN HWY",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681846",
            "telephone_number": "412-389-5043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 William Penn Hwy",
            "address_purpose": "LOCATION",
            "city": "Murrysville",
            "state": "PA",
            "postal_code": "156681879",
            "country_code": "US",
            "telephone_number": "724-327-8306",
            "fax_number": "724-325-3408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4100 William Penn Hwy",
            "address_purpose": "LOCATION",
            "city": "Murrysville",
            "state": "PA",
            "postal_code": "156681879",
            "country_code": "US",
            "telephone_number": "724-327-8306",
            "fax_number": "724-325-3408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON-HANDLEY",
        "first_name": "CYNTHIA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS 007661-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01824762",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "654605",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrysville, PA

Sources for this page

Verify at the official NPI Registry.