NPIMap

Organization Active NPI

Alliance Psychological Services, LLC

  • Professional Counselor
  • Allison Park, PA
National Provider Identifier
1366526725
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ALLIANCE PSYCHOLOGICAL SERVICES, LLC
Practice address
4655 William Flynn Hwy
Suite 125B
Allison Park, PA 15101-2243
Phone
(412) 492-8585
Fax
(412) 492-7882
NPI assigned
Oct 24, 2006
Last updated
May 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Authorized official

Name
Andrea Lynn Pottgen, M.S.ED, LPCNPI 1215474887
Title
Owner
Phone
(412) 431-5665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Clinical Psychologist 103TC0700X PS007065L PA
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

4655 William Flynn Hwy
Suite 125B
Allison Park, PA 15101-2243

Mailing address

4655 William Flynn Hwy Ste 124F
Allison Park, PA 15101-2248
Phone (412) 492-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081205000089 PA Part B Supplier - Clinic/Group Practice 5698836922 Receives reassigned benefits from 9 practitioners
Practice locations: Allison Park, PA

National Provider Directory

National Provider Directory
Tax ID family
Alliance Psychological Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4655 William Flynn Hwy
Ste 124F
Allison Park, PA 15101
Phone (412) 492-8585

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1366526725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 WILLIAM FLYNN HWY STE 124F",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151012248",
            "telephone_number": "412-492-8585",
            "fax_number": "412-492-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 WILLIAM FLYNN HWY",
            "address_2": "SUITE 125B",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151012243",
            "telephone_number": "412-492-8585",
            "fax_number": "412-492-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "POTTGEN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-431-5665",
        "authorized_official_credential": "M.S.ED, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS007065L",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allison Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.