Active NPI
Eric Jerome Dech, PHD
- Clinical Psychologist
- Cranberry Township, PA
National Provider Identifier
1306984901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS009319
- Practice address
- 215 Executive Dr
Suite 102
Cranberry Township, PA 16066-6406 - Phone
- (724) 816-0580
- Fax
- (724) 776-5611
- NPI assigned
- Feb 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS009319 | PA | Primary |
Addresses
Primary practice location
215 Executive Dr
Suite 102
Cranberry Township, PA 16066-6406
Mailing address
215 Executive Dr
Suite 102
Cranberry Township, PA 16066-6406
Phone (724) 816-0580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01947790 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
215 Executive Dr
Suite 102
Cranberry Township, PA 16066-6408
Phone (724) 816-0580
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric J Dech PHD PC | Current | Accepting new patients |
Locations
215 Executive Dr
Ste 102
Cranberry Twp, PA 16066
Phone (724) 766-3620
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.
-
- Community/Behavioral Health Agency
- Cranberry TWP, PA
- NPI 1023637584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1306984901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 EXECUTIVE DR",
"address_2": "SUITE 102",
"city": "CRANBERRY TOWNSHIP",
"state": "PA",
"postal_code": "160666406",
"telephone_number": "724-816-0580",
"fax_number": "724-776-5611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 EXECUTIVE DR",
"address_2": "SUITE 102",
"city": "CRANBERRY TOWNSHIP",
"state": "PA",
"postal_code": "160666406",
"telephone_number": "724-816-0580",
"fax_number": "724-776-5611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECH",
"first_name": "ERIC",
"middle_name": "JEROME",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS009319",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01947790",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cranberry Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.