Individual provider Active NPI

Hannah Thibodeau, PSYD

  • Clinical Psychologist
  • Canonsburg, PA
National Provider Identifier
1295341832
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
S019111 Issued in PA
Practice address
242 E McMurray Rd
Canonsburg, PA 15317-2963
Phone
(412) 276-2307
NPI assigned
Sep 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X
Clinical Psychologist 103TC0700X S019111 PA Primary

Addresses

Primary practice location

242 E McMurray Rd
Canonsburg, PA 15317-2963

Mailing address

242 E McMurray Rd
Canonsburg, PA 15317-2963
Phone (412) 276-2307

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
I20201023003121 PA Practitioner - Clinical Psychologist 3072933464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Courtney M Ramous PSYD PLGroup PAC ID 7113243833, 8 clinicians

Practice addresses (Care Compare)

242 E McMurray Rd
MC Murray, PA 15317-2963
Phone (412) 276-2307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S019111PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Courtney M Ramous PSYD PL Clinical CurrentSince Aug 20, 2020 Accepting new patients

Locations

242 E McMurray Rd
McMurray, PA 15317
Phone (412) 276-2307

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": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1295341832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 E MCMURRAY RD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172963",
            "telephone_number": "412-276-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 E MCMURRAY RD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172963",
            "telephone_number": "412-276-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAU",
        "first_name": "HANNAH",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "S019111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.