Active NPI
Stanley H. Nadulek, PH.D., P.C.
- Clinical Psychologist
- Allison Park, PA
National Provider Identifier
1376691774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS-005306-L
- Legal business name
- STANLEY H. NADULEK, PH.D., P.C.
- Practice address
- 4068 Mount Royal Blvd Ste 218
Allison Park, PA 15101-2951 - Phone
- (412) 487-1710
- Fax
- (724) 444-3047
- NPI assigned
- Jan 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stanley Howard Nadulek, PHD
- Title
- President
- Phone
- (412) 487-1710
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS-005306-L | PA | |
| Clinical Psychologist | 103TC0700X | PS-005306-L | PA | Primary |
Addresses
Primary practice location
4068 Mount Royal Blvd Ste 218
Allison Park, PA 15101-2951
Mailing address
4068 Mount Royal Blvd Ste 218
Allison Park, PA 15101-2951
Phone (412) 487-1710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41-001530638 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4068 Mount Royal Blvd
Ste 218
Allison Park, PA 15101
Phone (412) 487-1710
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Allison Park, PA
- NPI 1932145463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686268800000",
"number": "1376691774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4068 MOUNT ROYAL BLVD STE 218",
"city": "ALLISON PARK",
"state": "PA",
"postal_code": "151012951",
"telephone_number": "412-487-1710",
"fax_number": "724-444-3047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4068 MOUNT ROYAL BLVD STE 218",
"city": "ALLISON PARK",
"state": "PA",
"postal_code": "151012951",
"telephone_number": "412-487-1710",
"fax_number": "724-444-3047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STANLEY H. NADULEK, PH.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A",
"authorized_official_last_name": "NADULEK",
"authorized_official_first_name": "STANLEY",
"authorized_official_middle_name": "HOWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "412-487-1710",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "PA",
"license": "PS-005306-L",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS-005306-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41-001530638",
"state": "PA"
}
],
"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 Jun 9, 2023; 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.