Individual provider Active NPI

Eric Jerome Dech, PHD

  • Clinical Psychologist
  • Cranberry Township, PA
National Provider Identifier
1306984901
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS009319 Issued in PA
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01947790MedicaidPA

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
I20150605001221 PA Practitioner - Clinical Psychologist 5294056933 Reassigns benefits to 1 organization
Practice locations: Cranberry TWP, PA; Pittsburgh, PA

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

OrganizationSpecialtyStatusNew patients
Eric J Dech PHD PC CurrentSince Apr 1, 2020 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.

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

Verify at the official NPI Registry.