Individual provider Active NPI

Kyla McBurney-Rebol, PHD

  • Clinical Psychologist
  • Pittsburgh, PA
National Provider Identifier
1407276850
Registry record updated Apr 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY202387 Issued in ID
Practice address
155 N Craig St Ste 170
Pittsburgh, PA 15213-1574
Phone
(412) 687-8700
NPI assigned
Apr 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2024

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 PSY202387 ID Primary

Addresses

Primary practice location

155 N Craig St Ste 170
Pittsburgh, PA 15213-1574

Mailing address

155 N Craig St Ste 170
Pittsburgh, PA 15213-1574
Phone (412) 687-8700

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY202387IDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Creekside Counseling Clinical Past Accepting new patients
Cognitive Dynamic Therapy Associates Inc PastSince Apr 21, 2024 Accepting new patients

Organizations & group practices 2

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": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1407276850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N CRAIG ST STE 170",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131574",
            "telephone_number": "412-687-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N CRAIG ST STE 170",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131574",
            "telephone_number": "412-687-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBURNEY-REBOL",
        "first_name": "KYLA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY202387",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 20, 2024; 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.