Individual provider Active NPI

Sandra A Vujnovic, PHD

  • Psychologist
  • Moon Township, PA
National Provider Identifier
1558387357
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS005910L Issued in PA
Practice address
1000 Commerce Drive
Suite 1008
Moon Township, PA 15108
Phone
(412) 299-8404
Fax
(412) 299-7818
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS005910L PA Primary

Addresses

Primary practice location

1000 Commerce Drive
Suite 1008
Moon Township, PA 15108

Mailing address

230 North Craig Street
Suite B
Pittsburgh, PA 15213
Phone (412) 621-3777

Other identifiers 1

IdentifierTypeStateIssuer
661136OtherPABCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060202000427 PA Practitioner - Clinical Psychologist 5092729624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Counseling and Consulting LLCGroup PAC ID 9032654132, 6 clinicians

Practice addresses (Care Compare)

400 Locust Ave
Suite 1
Washington, PA 15301-3397
Phone (724) 249-2749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS005910LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Counseling and Consulting LLC CurrentSince May 12, 2024 Accepting new patients
Delaware County Professional Services, Inc PastSince Mar 1, 2024 Accepting new patients
Vista Behavioral Health Associates, Inc. Psychologist PastSince Jan 1, 2017 Accepting new patients
Comprehensive Couseling, LLP Past Accepting new patients
Joseph Michael Kanotz Past Accepting new patients
Pennsylvania Department of Public Welfare Past Accepting new patients
Comprehensive Counseling of Washington PA Psychologist Past Accepting new patients

Locations

400 Locust Ave
Ste 1
Washington, PA 15301
Phone (724) 249-2749

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558387357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 NORTH CRAIG STREET",
            "address_2": "SUITE B",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15213",
            "telephone_number": "412-621-3777",
            "fax_number": "412-622-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COMMERCE DRIVE",
            "address_2": "SUITE 1008",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "15108",
            "telephone_number": "412-299-8404",
            "fax_number": "412-299-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUJNOVIC",
        "first_name": "SANDRA",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS005910L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "661136",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moon Township, PA

Sources for this page

Verify at the official NPI Registry.