NPIMap

Organization Active NPI

Child and Adolescent Clinical Associates, Inc.

Doing business as Clinical Associates

  • Clinical Psychologist
  • Cranberry TWP, PA
National Provider Identifier
1518070515
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS004396-L Issued in PA
Legal business name
CHILD AND ADOLESCENT CLINICAL ASSOCIATES, INC.
Doing business as
Clinical Associates
Practice address
501 Smith Dr Ste 6
Cranberry TWP, PA 16066-4133
Phone
(724) 776-0350
Fax
(724) 776-5244
NPI assigned
Aug 16, 2006
Last updated
Mar 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Dr. Robert Michael Andolina, PH.D.NPI 1356478085
Title
President
Phone
(724) 776-0350

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PS004396-L PA Primary

Addresses

Primary practice location

501 Smith Dr Ste 6
Cranberry TWP, PA 16066-4133

Mailing address

501 Smith Dr Ste 6
Cranberry TWP, PA 16066-4133
Phone (724) 776-0350

Other names 1

  • Clinical Associates Doing business as

National Provider Directory

National Provider Directory

Locations

501 Smith Dr
Ste 6
Cranberry Twp, PA 16066
Phone (724) 776-0350

Practitioners & affiliated clinicians

Practitioners 3

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": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1518070515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SMITH DR STE 6",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160664133",
            "telephone_number": "724-776-0350",
            "fax_number": "724-776-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SMITH DR STE 6",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160664133",
            "telephone_number": "724-776-0350",
            "fax_number": "724-776-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND ADOLESCENT CLINICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "ANDOLINA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-776-0350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS004396-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 11, 2008; 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.