Individual provider Active NPI

Barbara Madaus, M ED LP

  • Psychologist
  • Pittsburgh, PA
National Provider Identifier
1679564868
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS007407L Issued in PA
Practice address
4721 McKnight Rd
Suite 205
Pittsburgh, PA 15237-3415
Phone
(412) 364-4291
Fax
(412) 241-0739
NPI assigned
Nov 4, 2005
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 PS007407L PA Primary

Addresses

Primary practice location

4721 McKnight Rd
Suite 205
Pittsburgh, PA 15237-3415

Mailing address

4721 McKnight Rd Ste 205
Pittsburgh, PA 15237-3415
Phone (412) 364-4291

Other identifiers 1

IdentifierTypeStateIssuer
01739400OtherPAMEDICAL ASSISTANCE

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

State licenses

LicenseStateTypeSpecialty
PS007407LPAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679564868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 MCKNIGHT RD STE 205",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373415",
            "telephone_number": "412-364-4291",
            "fax_number": "412-241-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 MCKNIGHT RD",
            "address_2": "SUITE 205",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373415",
            "telephone_number": "412-364-4291",
            "fax_number": "412-241-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAUS",
        "first_name": "BARBARA",
        "credential": "M ED LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS007407L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "01739400",
            "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.