Individual provider Active NPI

Clara Holt Gautier, PH.D.

  • Clinical Psychologist
  • Pittsburgh, PA
National Provider Identifier
1588851851
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016051 Issued in PA
Practice address
128 N Craig St Ste 210
Pittsburgh, PA 15213-2758
Phone
(412) 401-5054
NPI assigned
Oct 1, 2007
Last updated
Mar 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS016051 PA Primary

Addresses

Primary practice location

128 N Craig St Ste 210
Pittsburgh, PA 15213-2758

Mailing address

128 N Craig St Ste 210
Pittsburgh, PA 15213-2758
Phone (412) 401-5054

Other practice location 1

211 N Whitfield St
540
Pittsburgh, PA 15206-3039
Phone (412) 401-5054

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
I20090730000061 PA Practitioner - Clinical Psychologist 8123171766 Practice locations: Pittsburgh, PA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS016051PAMDClinical Psychologist

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1588851851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 N CRAIG ST STE 210",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132758",
            "telephone_number": "412-401-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N CRAIG ST STE 210",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132758",
            "telephone_number": "412-401-5054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 N Whitfield St",
            "address_2": "540",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152063039",
            "country_code": "US",
            "telephone_number": "412-401-5054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUTIER",
        "first_name": "CLARA",
        "middle_name": "HOLT",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.