Active NPI
Developmental Integrative Pediatrics
- Developmental - Behavioral Pediatrics Physician
- Bridgeville, PA
National Provider Identifier
1467924381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- Legal business name
- DEVELOPMENTAL INTEGRATIVE PEDIATRICS
- Practice address
- 60 Abele Rd Ste 1105a
Bridgeville, PA 15017-3467 - Phone
- (412) 221-0800
- NPI assigned
- Dec 18, 2018
- Last updated
- Dec 18, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristyn Billings
- Title
- Insurance Dept
- Phone
- (412) 655-4362
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | Primary |
Addresses
Primary practice location
60 Abele Rd Ste 1105a
Bridgeville, PA 15017-3467
Mailing address
PO Box 791
Carnegie, PA 15106-0791
Phone (141) 265-5436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD065544L | Other | PA | STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
60 Abele Rd
Ste 1105A
Bridgeville, PA 15017
Phone (412) 221-0800
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatrics Physician
- Pittsburgh, PA
- NPI 1407892821
Developmental - Behavioral Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545091200000",
"number": "1467924381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 791",
"city": "CARNEGIE",
"state": "PA",
"postal_code": "151060791",
"telephone_number": "141-265-5436",
"fax_number": "412-653-7684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 ABELE RD STE 1105A",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "150173467",
"telephone_number": "412-221-0800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVELOPMENTAL INTEGRATIVE PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-18",
"last_updated": "2018-12-18",
"status": "A",
"authorized_official_last_name": "BILLINGS",
"authorized_official_first_name": "KRISTYN",
"authorized_official_title_or_position": "INSURANCE DEPT",
"authorized_official_telephone_number": "412-655-4362"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MD065544L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.