Individual provider Active NPI

Rebecca M. Wiegers, PHD

  • Clinical Neuropsychologist
  • Monroeville, PA
National Provider Identifier
1659360154
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PS002777L Issued in PA
Practice address
3825 Northern Pike
Ste 202
Monroeville, PA 15146-2161
Phone
(412) 480-7325
Fax
(412) 373-7324
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PS002777L PA Primary

Addresses

Primary practice location

3825 Northern Pike
Ste 202
Monroeville, PA 15146-2161

Mailing address

3825 Northern Pike
Ste 202
Monroeville, PA 15146-2161
Phone (412) 980-7325

Other identifiers 5

IdentifierTypeStateIssuer
163887OtherVALUE OPTIONS
204748OtherPAUPMC
2062936OtherPACIGNA
547860OtherPABCBS
001738510MedicaidPA

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
I20031104000232 PA Practitioner - Clinical Psychologist 5698687051 Practice locations: Monroeville, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3825 Northern Pike
Monroeville, PA 15146-5030
Phone (412) 480-7325

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1659360154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 NORTHERN PIKE",
            "address_2": "STE 202",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462161",
            "telephone_number": "412-980-7325",
            "fax_number": "412-247-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 NORTHERN PIKE",
            "address_2": "STE 202",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462161",
            "telephone_number": "412-480-7325",
            "fax_number": "412-373-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEGERS",
        "first_name": "REBECCA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS002777L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "163887",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "204748",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2062936",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "547860",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001738510",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.