Active NPI
Deborah J Mikita, MA
- Psychologist
- Hermitage, PA
National Provider Identifier
1689688087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS8073L
- Practice address
- 3679 E State St
Hermitage, PA 16148-3411 - Phone
- (724) 982-0414
- Fax
- (724) 982-4407
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS8073L | PA | Primary |
Addresses
Primary practice location
3679 E State St
Hermitage, PA 16148-3411
Mailing address
6802 Tanglewood Drive
Boardman, OH 44512
Phone (330) 629-9893
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016126440004 | Medicaid | PA | |
| 000557345 | Other | PA | HIGHMARK BCBS |
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS8073L | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Anthonys Point Inc | Psychologist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychologist
- Hermitage, PA
- NPI 1609984343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303689600000",
"number": "1689688087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6802 TANGLEWOOD DRIVE",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "44512",
"telephone_number": "330-629-9893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3679 E STATE ST",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161483411",
"telephone_number": "724-982-0414",
"fax_number": "724-982-4407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKITA",
"first_name": "DEBORAH",
"middle_name": "J",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2011-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS8073L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016126440004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS",
"identifier": "000557345",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hermitage, PA
- Michael D Rairigh,Au.D PLLC (Hermitage Hearing Solutions)
- Michael D Rairigh,Au.D PLLC (Hermitage Audiology and FYZICAL Therapy)
- Michael E Abdul-Malak, MD, LLC
- Joseph Michaleski
- Michelle L Lombardo
- Brandon Michael Mikolich, M.D.
- Kayla Milano, M.D.
- Brooke Nicole Miller, PT, DPT
- David Daniel Miller, MD
- Krysten Diane Miller, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.