Organization Active NPI

Jenna Mates PSYD LLC

  • Psychologist
  • Pittsburgh, PA
National Provider Identifier
1407544554
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
JENNA MATES PSYD LLC
Practice address
5850 Ellsworth Ave Ste 220
Pittsburgh, PA 15232-1775
Phone
(412) 389-8489
NPI assigned
Apr 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Jenna P Mates, PSYDNPI 1245767284
Title
Dr.
Phone
(412) 389-8489

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

5850 Ellsworth Ave Ste 220
Pittsburgh, PA 15232-1775

Mailing address

143 Home St
Pittsburgh, PA 15201-2913

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1407544554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 HOME ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152012913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 ELLSWORTH AVE STE 220",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321775",
            "telephone_number": "412-389-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNA MATES PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "MATES",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "412-389-8489",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "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 26, 2023; 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.