Individual provider Active NPI

Josef F. Tybl, PH.D.

  • Clinical Psychologist
  • Pittsburgh, PA
National Provider Identifier
1316155609
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS-005444-L Issued in PA
Practice address
990 Greentree Rd
Suite 103
Pittsburgh, PA 15220-3239
Phone
(412) 921-2325
Fax
(412) 341-6963
NPI assigned
May 18, 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
Clinical Psychologist 103TC0700X PS-005444-L PA Primary

Addresses

Primary practice location

990 Greentree Rd
Suite 103
Pittsburgh, PA 15220-3239

Mailing address

990 Greentree Rd
Suite 103
Pittsburgh, PA 15220-3239
Phone (412) 921-2325

Other identifiers 7

IdentifierTypeStateIssuer
IP134758OtherPAMBH
166787OtherPAVALUE OPTIONS
716118OtherPAHIGHMARK BLUE SHIELD
34568SOtherPACAQH
212214OtherPAMHN
41-01435862MedicaidPA
174234OtherPAGREAT WEST

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
I20040204000290 PA Practitioner - Clinical Psychologist 9335032317 Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

990 Greentree Rd
Suite 103
Pittsburgh, PA 15220-3239
Phone (412) 921-2325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS-005444-LPAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316155609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 GREENTREE RD",
            "address_2": "SUITE 103",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203239",
            "telephone_number": "412-921-2325",
            "fax_number": "412-341-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 GREENTREE RD",
            "address_2": "SUITE 103",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203239",
            "telephone_number": "412-921-2325",
            "fax_number": "412-341-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYBL",
        "first_name": "JOSEF",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-005444-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBH",
            "identifier": "IP134758",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "166787",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "716118",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "34568S",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "212214",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41-01435862",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "174234",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.