NPIMap

Organization Active NPI

Cognitive Behavior Institute, LLC

  • Clinical Social Worker
  • Cranberry TWP, PA
National Provider Identifier
1669884409
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017308 Issued in PA
Legal business name
COGNITIVE BEHAVIOR INSTITUTE, LLC
Practice address
2009 Mackenzie Way
Suite 100
Cranberry TWP, PA 16066-5332
Phone
(724) 814-9708
NPI assigned
May 28, 2014
Last updated
May 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Authorized official

Name
Mr. Kevin Caridad, LCSWNPI 1518158377
Title
Founder / Director
Phone
(724) 814-9708

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW017308 PA Primary

Addresses

Primary practice location

2009 Mackenzie Way
Suite 100
Cranberry TWP, PA 16066-5332

Mailing address

168 Southridge Dr
Cranberry TWP, PA 16066-2404
Phone (724) 814-9708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150227001272 PA Part B Supplier - Clinic/Group Practice 7810213337 Receives reassigned benefits from 38 practitioners
Practice locations: Beaver, PA; Cranberry TWP, PA; Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

151 Roessler Rd
Ste 325
Pittsburgh, PA 15220

1910 Cochran Rd
Ste 325
Pittsburgh, PA 15220
Phone (724) 609-5002

633 Washington Rd
Ste B
Pittsburgh, PA 15228
Phone (724) 609-5002

Practitioners & affiliated clinicians

Practitioners 81

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.

View all 81

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1669884409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 SOUTHRIDGE DR",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160662404",
            "telephone_number": "724-814-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 MACKENZIE WAY",
            "address_2": "SUITE 100",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160665332",
            "telephone_number": "724-814-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE BEHAVIOR INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "CARIDAD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "FOUNDER / DIRECTOR",
        "authorized_official_telephone_number": "724-814-9708",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.