Individual provider Active NPI

Joseph Patrick Pecorelli, PH.D.

  • Psychologist
  • Hermitage, PA
National Provider Identifier
1336158161
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS016111 Issued in PA
Practice address
2375 Garden Way
Hermitage, PA 16148-5209
Phone
(724) 983-5454
Fax
(724) 983-5419
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4726 OH
Clinical Psychologist 103TC0700X 0810001581 VA
Psychologist 103T00000X PS016111 PA Primary

Addresses

Primary practice location

2375 Garden Way
Hermitage, PA 16148-5209

Mailing address

2375 Garden Way
Hermitage, PA 16148-5209
Phone (724) 983-5454

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS016111PAMDPsychologist
0810001581VAMDClinical Psychologist
4726OHMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1336158161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 GARDEN WAY",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161485209",
            "telephone_number": "724-983-5454",
            "fax_number": "724-983-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 GARDEN WAY",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161485209",
            "telephone_number": "724-983-5454",
            "fax_number": "724-983-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECORELLI",
        "first_name": "JOSEPH",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "4726",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001581",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.