Active NPI
Timothy Joseph Makatura, PH.D.
- Psychologist
- Pittsburgh, PA
National Provider Identifier
1316153638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS007236L
- Practice address
- 2304 Jane St
Pittsburgh, PA 15203-2362 - Phone
- (412) 431-8006
- Fax
- (412) 431-8124
- NPI assigned
- May 15, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS007236L | PA | Primary |
Addresses
Primary practice location
2304 Jane St
Pittsburgh, PA 15203-2362
Mailing address
65 Keswick Ave
Pittsburgh, PA 15202-3364
Phone (412) 734-0416
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015814770006 | Other | PA | COMMUNITY CARE |
| 410064 | Other | PA | UPMC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS007236L | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Children'S Initiative, Inc | Past | Accepting new patients |
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
- Pittsburgh, PA
- NPI 1750409728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316153638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 KESWICK AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152023364",
"telephone_number": "412-734-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2304 JANE ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152032362",
"telephone_number": "412-431-8006",
"fax_number": "412-431-8124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKATURA",
"first_name": "TIMOTHY",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS007236L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY CARE",
"identifier": "0015814770006",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "410064",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.