Individual provider Active NPI

Karen Lee Woodall, PH.D.

  • Psychologist
  • Pittsburgh, PA
National Provider Identifier
1598864472
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS005592L Issued in PA
Practice address
155 N Craig St
Suite 120
Pittsburgh, PA 15213-1571
Phone
(412) 683-6337
Fax
(412) 683-0642
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
Yes

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 PS005592L PA Primary

Addresses

Primary practice location

155 N Craig St
Suite 120
Pittsburgh, PA 15213-1571

Mailing address

155 N Craig St
Suite 120
Pittsburgh, PA 15213-1571
Phone (412) 683-6337

Other identifiers 3

IdentifierTypeStateIssuer
710942OtherPAHIGHMARK INSURANCE PROVID
150153OtherNYVALUE OPTIONS PROVIDER ID
110145OtherPAUPMC HEALTH PLAN PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS005592LPAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598864472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N CRAIG ST",
            "address_2": "SUITE 120",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131571",
            "telephone_number": "412-683-6337",
            "fax_number": "412-683-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N CRAIG ST",
            "address_2": "SUITE 120",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131571",
            "telephone_number": "412-683-6337",
            "fax_number": "412-683-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODALL",
        "first_name": "KAREN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS005592L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK INSURANCE PROVID",
            "identifier": "710942",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER ID",
            "identifier": "150153",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN PROVIDER",
            "identifier": "110145",
            "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 Jul 8, 2007; 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.