NPIMap

Organization Active NPI

Psychotherapy Services of Cranberry, P.C.

  • Community/Behavioral Health Agency
  • Cranberry TWP, PA
National Provider Identifier
1427264407
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PS-003621-L Issued in PA
Legal business name
PSYCHOTHERAPY SERVICES OF CRANBERRY, P.C.
Practice address
215 Executive Dr
Suite 102
Cranberry TWP, PA 16066-6406
Phone
(724) 776-5690
Fax
(724) 776-5611
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Authorized official

Name
Dr. Robert S. Bodnar, PH.D.NPI 1881713006
Title
President
Phone
(724) 776-5690

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
Community/Behavioral Health Agency 251S00000X PS-003621-L PA Primary

Addresses

Primary practice location

215 Executive Dr
Suite 102
Cranberry TWP, PA 16066-6406

Mailing address

215 Executive Dr
Suite 102
Cranberry TWP, PA 16066-6406
Phone (724) 776-5690

Other identifiers 2

IdentifierTypeStateIssuer
058172 A796230OtherPAVBH-PA
41-01834802MedicaidPA

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1427264407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 EXECUTIVE DR",
            "address_2": "SUITE 102",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666406",
            "telephone_number": "724-776-5690",
            "fax_number": "724-776-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 EXECUTIVE DR",
            "address_2": "SUITE 102",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666406",
            "telephone_number": "724-776-5690",
            "fax_number": "724-776-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY SERVICES OF CRANBERRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "BODNAR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-776-5690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PS-003621-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VBH-PA",
            "identifier": "058172 A796230",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41-01834802",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.