NPIMap

Organization Active NPI

Psychotherapy Associates, Inc.

  • Mental Health Counselor
  • Canonsburg, PA
National Provider Identifier
1427244235
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PSYCHOTHERAPY ASSOCIATES, INC.
Practice address
1200 Ashwood Dr Ste 1201
Canonsburg, PA 15317-4982
Phone
(724) 884-0466
Fax
(724) 228-3943
NPI assigned
Sep 15, 2007
Last updated
Dec 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Authorized official

Name
Emily Heim, LCSWNPI 1790844231
Title
Owner/President
Phone
(724) 884-0466

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
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1200 Ashwood Dr Ste 1201
Canonsburg, PA 15317-4982

Mailing address

1200 Ashwood Dr Ste 1201
Canonsburg, PA 15317-4982
Phone (724) 884-0466

Other identifiers 9

IdentifierTypeStateIssuer
120060OtherPAVALUE OPTIONS
1942926OtherPAHIGHMARK BLUE CROSS BLUE SHIELD
395502OtherMHN
93655OtherPATRICARE
102553200-0001MedicaidPA
5448648OtherPAAETNA
2668179OtherPAUNITED HEALTHCARE
11613707OtherPACIGNA
62474378OtherNYMULTIPLAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100622000409 PA Part B Supplier - Clinic/Group Practice 4082745948 Receives reassigned benefits from 9 practitioners
Practice locations: Canonsburg, PA; Bridgeville, PA

National Provider Directory

National Provider Directory

Locations

1195 Washington Pike
Bridgeville, PA 15017

1195 Washington Pike
Ste 300
Bridgeville, PA 15017
Phone (412) 589-9897

1200 Ashwood Dr
Ste 1201
Canonsburg, PA 15317
Phone (724) 884-0466

2275 Swallow Hill Rd
Ste 1000
Pittsburgh, PA 15220
Phone (412) 480-9484

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1427244235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ASHWOOD DR STE 1201",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153174982",
            "telephone_number": "724-884-0466",
            "fax_number": "724-649-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ASHWOOD DR STE 1201",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153174982",
            "telephone_number": "724-884-0466",
            "fax_number": "724-228-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-15",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "HEIM",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "724-884-0466",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "120060",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS BLUE SHIELD",
            "identifier": "1942926",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "395502",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "93655",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102553200-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5448648",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2668179",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "11613707",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "62474378",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.