Individual provider Active NPI

Donna Coufal, PH.D PSYCHOLOGY

  • Clinical Psychologist
  • Pittsburgh, PA
National Provider Identifier
1376600296
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS005359L Issued in PA
Practice address
5701 Centre Ave
Suite L4
Pittsburgh, PA 15206-3744
Phone
(412) 362-8817
Fax
(412) 362-0477
NPI assigned
Jan 2, 2007
Sex
Female
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 PS005359L PA Primary

Addresses

Primary practice location

5701 Centre Ave
Suite L4
Pittsburgh, PA 15206-3744

Mailing address

5701 Centre Ave
Suite L4
Pittsburgh, PA 15206-3744
Phone (412) 362-8817

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
I20080513000501 PA Practitioner - Clinical Psychologist 6305915653 Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5701 Centre Ave
Pittsburgh, PA 15206-3791
Phone (412) 362-8817

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS005359LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sloan Counseling and Art Therapy, LLC PastSince Jul 17, 2021 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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376600296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 CENTRE AVE",
            "address_2": "SUITE L4",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063744",
            "telephone_number": "412-362-8817",
            "fax_number": "412-362-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 CENTRE AVE",
            "address_2": "SUITE L4",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063744",
            "telephone_number": "412-362-8817",
            "fax_number": "412-362-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUFAL",
        "first_name": "DONNA",
        "credential": "PH.D PSYCHOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005359L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.