Active NPI
Cranberry Psychological Services, Inc.
- Clinical Psychologist
- Wexford, PA
National Provider Identifier
1508891433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS015442
- Legal business name
- CRANBERRY PSYCHOLOGICAL SERVICES, INC.
- Practice address
- 1000 Stonewood Dr
Suite 302
Wexford, PA 15090-8386 - Phone
- (724) 935-1599
- NPI assigned
- Jul 11, 2006
- 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
- Laurie Marie Donaldson, PH.D.
- Title
- President
- Phone
- (724) 935-1599
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS015442 | PA | Primary |
Addresses
Primary practice location
1000 Stonewood Dr
Suite 302
Wexford, PA 15090-8386
Mailing address
1000 Stonewood Dr
Suite 302
Wexford, PA 15090-8386
Phone (724) 935-1599
National Provider Directory
National Provider DirectoryLocations
1000 Stonewood Dr
Ste 302
Wexford, PA 15090
Phone (724) 935-1599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193702400000",
"number": "1508891433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 STONEWOOD DR",
"address_2": "SUITE 302",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150908386",
"telephone_number": "724-935-1599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 STONEWOOD DR",
"address_2": "SUITE 302",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150908386",
"telephone_number": "724-935-1599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRANBERRY PSYCHOLOGICAL SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2007-10-30",
"status": "A",
"authorized_official_last_name": "DONALDSON",
"authorized_official_first_name": "LAURIE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "724-935-1599",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS015442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.