Organization Active NPI

Robert F. Coufal PHD and Associates PC

  • Forensic Psychologist
  • Pittsburgh, PA
National Provider Identifier
1386194777
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
PS005360L Issued in PA
Legal business name
ROBERT F. COUFAL PHD AND ASSOCIATES PC
Practice address
5701 Centre Ave
Suite L-12
Pittsburgh, PA 15206-3744
Phone
(412) 362-1470
Fax
(412) 362-1472
NPI assigned
Oct 10, 2016
Organization subpart
Yes
Parent organization
ROBERT F. COUFAL, PHD AND ASSOCIATES PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Dr. Robert F. Coufal, PHDNPI 1083830921
Title
President
Phone
(412) 362-1470

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TF0200X PS005360L PA Primary

Addresses

Primary practice location

5701 Centre Ave
Suite L-12
Pittsburgh, PA 15206-3744

Mailing address

5701 Centre Ave
Suite L-12
Pittsburgh, PA 15206-3744
Phone (412) 362-1470

Other identifiers 8

IdentifierTypeStateIssuer
003790896001OtherPAUNITED HEALTHCARE COMMUNITY PLAN
1788380OtherPAPROMISE
1832504OtherPAAETNA
207176OtherPAUPMC
0000507OtherPACCBHO
VALUEOPTIONSOtherPA116564
1624800OtherGATEWAY
621603OtherPAHIGHMARK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170303000541 PA Part B Supplier - Clinic/Group Practice 6406130822 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory
Part of
Robert F Coufal PHD Assoc

Locations

5701 Centre Ave
Ste L12
Pittsburgh, PA 15206
Phone (412) 362-1470

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1386194777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 CENTRE AVE",
            "address_2": "SUITE L-12",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063744",
            "telephone_number": "412-362-1470",
            "fax_number": "412-362-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 CENTRE AVE",
            "address_2": "SUITE L-12",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063744",
            "telephone_number": "412-362-1470",
            "fax_number": "412-362-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT F. COUFAL PHD AND ASSOCIATES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERT F. COUFAL, PHD AND ASSOCIATES PC",
        "enumeration_date": "2016-10-10",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "COUFAL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-362-1470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Forensic",
            "state": "PA",
            "license": "PS005360L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE COMMUNITY PLAN",
            "identifier": "003790896001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROMISE",
            "identifier": "1788380",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1832504",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "207176",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCBHO",
            "identifier": "0000507",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "116564",
            "identifier": "VALUEOPTIONS",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1624800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "621603",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.