NPIMap

Organization Active NPI

Mary and Alexander Laughlin Children's Center

Doing business as Laughlin Children's Center

  • Clinical Child & Adolescent Psychologist
  • Sewickley, PA
National Provider Identifier
1295721249
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
MARY AND ALEXANDER LAUGHLIN CHILDREN'S CENTER
Doing business as
Laughlin Children's Center
Practice address
424 Frederick Ave
Sewickley, PA 15143-1523
Phone
(412) 741-4087
Fax
(412) 741-6808
NPI assigned
Sep 26, 2005
Organization subpart
Yes
Parent organization
MARY & ALEXANDER LAUGHLIN CHILDREN'S CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
Mr. Douglas T Florey
Title
Executive Director
Phone
(412) 741-4087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X Primary

Addresses

Primary practice location

424 Frederick Ave
Sewickley, PA 15143-1523

Mailing address

424 Frederick Ave
Sewickley, PA 15143-1523
Phone (412) 741-4087

Other identifiers 3

IdentifierTypeStateIssuer
429437OtherPABCBS - PREMIERE NETWORK
0015858230002MedicaidPA
351738000OtherMAGELLAN BEHAVIORAL HEALT

Other names 1

  • Laughlin Children's Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mary and Alexander Laughlin Children's Center4 organizations share this tax ID, including this one
Part of
Mary and Alexander Laughlin Children's Center

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1295721249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 FREDERICK AVE",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431523",
            "telephone_number": "412-741-4087",
            "fax_number": "412-741-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 FREDERICK AVE",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431523",
            "telephone_number": "412-741-4087",
            "fax_number": "412-741-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY AND ALEXANDER LAUGHLIN CHILDREN'S CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARY & ALEXANDER LAUGHLIN CHILDREN'S CENTER",
        "enumeration_date": "2005-09-26",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "FLOREY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "412-741-4087",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - PREMIERE NETWORK",
            "identifier": "429437",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015858230002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALT",
            "identifier": "351738000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laughlin Children's Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sewickley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.