Individual provider Active NPI

Deborah Ayn Greenwald, PH.D.

  • Clinical Psychologist
  • Pittsburgh, PA
National Provider Identifier
1376648352
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS002969L Issued in PA
Practice address
1326 Freeport Rd
Suite 250
Pittsburgh, PA 15238-3131
Phone
(412) 967-0610
Fax
(412) 968-0527
NPI assigned
Sep 14, 2006
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 PS002969L PA Primary

Addresses

Primary practice location

1326 Freeport Rd
Suite 250
Pittsburgh, PA 15238-3131

Mailing address

1326 Freeport Rd
Suite 250
Pittsburgh, PA 15238-3131
Phone (412) 967-0610

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
I20110809000144 PA Practitioner - Clinical Psychologist 2860661857 Practice locations: Blawnox, PA

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376648352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 FREEPORT RD",
            "address_2": "SUITE 250",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383131",
            "telephone_number": "412-967-0610",
            "fax_number": "412-968-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 FREEPORT RD",
            "address_2": "SUITE 250",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383131",
            "telephone_number": "412-967-0610",
            "fax_number": "412-968-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWALD",
        "first_name": "DEBORAH",
        "middle_name": "AYN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS002969L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.