Individual provider Active NPI

Vincent F Dimalta, ED.D.

  • Psychologist
  • Greensburg, PA
National Provider Identifier
1699887620
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS001825L Issued in PA
Practice address
225 Humphrey Rd
Suite 4
Greensburg, PA 15601-4571
Phone
(724) 832-9096
Fax
(724) 832-2249
NPI assigned
Aug 31, 2006
Sex
Male
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 PS001825L PA Primary

Addresses

Primary practice location

225 Humphrey Rd
Suite 4
Greensburg, PA 15601-4571

Mailing address

1232 Oaklawn Dr
Latrobe, PA 15650-2222
Phone (724) 537-8138

Other identifiers 1

IdentifierTypeStateIssuer
30095OtherPAHIGHMARK BLUE CROSS

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699887620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 OAKLAWN DR",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156502222",
            "telephone_number": "724-537-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HUMPHREY RD",
            "address_2": "SUITE 4",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014571",
            "telephone_number": "724-832-9096",
            "fax_number": "724-832-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMALTA",
        "first_name": "VINCENT",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS001825L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS",
            "identifier": "30095",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, 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.