Active NPI
Ellen M Redinbaugh, PHD
- Psychologist
- Pittsburgh, PA
National Provider Identifier
1548233109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS008860L
- Practice address
- 401 Shady Ave
Suite 201C
Pittsburgh, PA 15206-4409 - Phone
- (412) 425-5918
- Fax
- (412) 422-9649
- NPI assigned
- Feb 13, 2006
- Last updated
- Jun 1, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS008860L | PA | Primary |
Addresses
Primary practice location
401 Shady Ave
Suite 201C
Pittsburgh, PA 15206-4409
Mailing address
401 Shady Ave
Suite 201C
Pittsburgh, PA 15206-4409
Phone (412) 425-5918
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168753 | Other | PA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040914001010 | PA | Practitioner - Clinical Psychologist | 6608843131 | Practice locations: Pittsburgh, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
401 Shady Ave
Pittsburgh, PA 15206-4800
Phone (412) 425-5918
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338508800000",
"number": "1548233109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 SHADY AVE",
"address_2": "SUITE 201C",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152064409",
"telephone_number": "412-425-5918",
"fax_number": "412-422-9649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 SHADY AVE",
"address_2": "SUITE 201C",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152064409",
"telephone_number": "412-425-5918",
"fax_number": "412-422-9649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDINBAUGH",
"first_name": "ELLEN",
"middle_name": "M",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2012-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS008860L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "168753",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.