Individual provider Active NPI

Peter Christopher Zubritzky, PH.D.

  • Psychologist
  • MC Kees Rocks, PA
National Provider Identifier
1407810583
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS008286L Issued in PA
Practice address
1767 Pine Hollow Rd
MC Kees Rocks, PA 15136-1558
Phone
(412) 331-1159
Fax
(412) 331-6414
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 PS008286L PA Primary

Addresses

Primary practice location

1767 Pine Hollow Rd
MC Kees Rocks, PA 15136-1558

Mailing address

1767 Pine Hollow Rd
MC Kees Rocks, PA 15136-1558
Phone (412) 331-1159

Other identifiers 1

IdentifierTypeStateIssuer
575884OtherPABLUE CROSS

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
PS008286LPAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407810583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 PINE HOLLOW RD",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361558",
            "telephone_number": "412-331-1159",
            "fax_number": "412-331-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 PINE HOLLOW RD",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361558",
            "telephone_number": "412-331-1159",
            "fax_number": "412-331-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBRITZKY",
        "first_name": "PETER",
        "middle_name": "CHRISTOPHER",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS008286L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "575884",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Kees Rocks, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.