Individual provider Active NPI

Vanessa R Talkington, PHD

  • Psychologist
  • Pittsburgh, PA
National Provider Identifier
1629358783
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS017070 Issued in PA
Practice address
345 Regis Ave Ste 2
Pittsburgh, PA 15236-1423
Phone
(412) 294-7399
Fax
(412) 430-3034
NPI assigned
Aug 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PS017070 PA
Clinical Child & Adolescent Psychologist 103TC2200X PS017070 PA
School Psychologist 103TS0200X PS017070 PA
Psychologist 103T00000X PS017070 PA Primary

Addresses

Primary practice location

345 Regis Ave Ste 2
Pittsburgh, PA 15236-1423

Mailing address

345 Regis Ave Ste 2
Pittsburgh, PA 15236-1423
Phone (412) 294-7399

Other identifiers 2

IdentifierTypeStateIssuer
103028625MedicaidPA
102929636MedicaidPA

Other names 1

  • Dr. Vanessa Talkington Michael Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111025000532 PA Practitioner - Clinical Psychologist 4082887708 Reassigns benefits to 1 organization
I20150116000281 PA Practitioner - Clinical Psychologist 4082887708 Reassigns benefits to 1 organization
Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological Perspectives LLCGroup PAC ID 8729391685, 4 clinicians

Practice addresses (Care Compare)

345 Regis Ave
Pittsburgh, PA 15236-1430
Phone (412) 294-7399

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS017070PAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Perspectives LLC Psychologist CurrentSince Jun 20, 2015 Accepting new patients

Locations

345 Regis Ave
Ste 2
Pittsburgh, PA 15236
Phone (412) 294-7399

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1629358783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 REGIS AVE STE 2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152361423",
            "telephone_number": "412-294-7399",
            "fax_number": "412-430-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 REGIS AVE STE 2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152361423",
            "telephone_number": "412-294-7399",
            "fax_number": "412-430-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALKINGTON",
        "first_name": "VANESSA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS017070",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS017070",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PA",
            "license": "PS017070",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103028625",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102929636",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "MICHAEL",
            "middle_name": "TALKINGTON",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.