Tri State Neuropsychology Consultants, PC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

TRI STATE NEUROPSYCHOLOGY CONSULTANTS, PC

Practice address

1850 Warriors Rd
Pittsburgh, PA 15205-3904

Phone

(412) 409-9017

Fax

(412) 212-7621

NPI assigned

Jan 22, 2021

Last updated

Jan 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Chong, PSYDNPI 1386923480

Title

Owner

Phone

(503) 724-6161

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, WV2 enrollments

Enrollment records 2

Practitioners 1

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.

• Jason Alexander Chong, PSYD

  • Clinical Neuropsychologist
  • Morgantown, WV
  • NPI 1386923480

  PA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1598355679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 CHASE ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265086840",
            "telephone_number": "503-724-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 WARRIORS RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152053904",
            "telephone_number": "412-409-9017",
            "fax_number": "412-212-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE NEUROPSYCHOLOGY CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-724-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Clinical Neuropsychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.