Organization Active NPI

Cranberry Psychological Services, Inc.

  • Clinical Psychologist
  • Wexford, PA
National Provider Identifier
1508891433
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS015442 Issued in PA
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

Updated by the provider on Oct 30, 2007

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.