Individual provider Active NPI

Laurel Jeanne Milberg, PHD

  • Psychologist
  • Monroeville, PA
National Provider Identifier
1689672958
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS004074L Issued in PA
Practice address
2566 Haymaker Rd
Forbes Family Practice
Monroeville, PA 15146-3517
Phone
(412) 858-2760
Fax
(412) 858-2765
NPI assigned
Jul 12, 2005
Sex
Female
Sole proprietor
No

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 PS004074L PA Primary

Addresses

Primary practice location

2566 Haymaker Rd
Forbes Family Practice
Monroeville, PA 15146-3517

Mailing address

2566 Haymaker Rd
Forbes Family Practice
Monroeville, PA 15146-3517
Phone (412) 858-2760

Other identifiers 1

IdentifierTypeStateIssuer
01804250MedicaidPA

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)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689672958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 HAYMAKER RD",
            "address_2": "FORBES FAMILY PRACTICE",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463517",
            "telephone_number": "412-858-2760",
            "fax_number": "412-858-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 HAYMAKER RD",
            "address_2": "FORBES FAMILY PRACTICE",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463517",
            "telephone_number": "412-858-2760",
            "fax_number": "412-858-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILBERG",
        "first_name": "LAUREL",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS004074L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01804250",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, 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.