Individual provider Active NPI

Anuradha Wadekar, PSYD

  • Psychologist
  • Bethel Park, PA
National Provider Identifier
1649019027
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS020169 Issued in PA
Practice address
2940 S Park Rd
Bethel Park, PA 15102-1686
Phone
(412) 833-1800
NPI assigned
May 23, 2024
Last updated
May 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS020169 PA Primary

Addresses

Primary practice location

2940 S Park Rd
Bethel Park, PA 15102-1686

Mailing address

2940 S Park Rd
Bethel Park, PA 15102-1686
Phone (412) 833-1800

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
I20240626001629 PA Practitioner - Clinical Psychologist 9931643400 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Donald J. Zandier, Jr., PC Psychologist CurrentSince Jun 12, 2024 Accepting new patients

Locations

2940 S Park Rd
Bethel Park, PA 15102
Phone (412) 833-1800

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": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1649019027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 S PARK RD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021686",
            "telephone_number": "412-833-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 S PARK RD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021686",
            "telephone_number": "412-833-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADEKAR",
        "first_name": "ANURADHA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS020169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.