Individual provider Active NPI

Timothy Joseph Makatura, PH.D.

  • Psychologist
  • Pittsburgh, PA
National Provider Identifier
1316153638
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS007236L Issued in PA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0015814770006OtherPACOMMUNITY CARE
410064OtherPAUPMC

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

LicenseStateTypeSpecialty
PS007236LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.