Individual provider Active NPI

Anthony Joseph Goreczny, PH.D.

  • Psychologist
  • Aspinwall, PA
National Provider Identifier
1386832897
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS005793L Issued in PA
Practice address
101 Emerson Ave
Aspinwall, PA 15215-3252
Phone
(412) 799-0304
Fax
(412) 799-0313
NPI assigned
Oct 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS005793L PA Primary

Addresses

Primary practice location

101 Emerson Ave
Aspinwall, PA 15215-3252

Mailing address

101 Emerson Ave
Aspinwall, PA 15215-3252
Phone (412) 799-0304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS005793LPAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1386832897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EMERSON AVE",
            "city": "ASPINWALL",
            "state": "PA",
            "postal_code": "152153252",
            "telephone_number": "412-799-0304",
            "fax_number": "412-799-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EMERSON AVE",
            "city": "ASPINWALL",
            "state": "PA",
            "postal_code": "152153252",
            "telephone_number": "412-799-0304",
            "fax_number": "412-799-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORECZNY",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS005793L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aspinwall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.