Organization Active NPI

Wayfaring Psychological Wellness, PLLC

  • Psychologist
  • Wexford, PA
National Provider Identifier
1700429313
Registry record updated Jan 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
WAYFARING PSYCHOLOGICAL WELLNESS, PLLC
Practice address
6400 Brooktree CT Ste 210
Wexford, PA 15090-9250
Phone
(412) 253-7125
Fax
(412) 253-7125
NPI assigned
Oct 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2020

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

Authorized official

Name
Dr. Megan DuffordNPI 1063814283
Title
Licensed Psychologist
Phone
(571) 992-5083

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

6400 Brooktree CT Ste 210
Wexford, PA 15090-9250

Mailing address

2507 Bear Run Dr
Pittsburgh, PA 15237-1478

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230703000553 PA Part B Supplier - Clinic/Group Practice 8921467390 Receives reassigned benefits from 1 practitioner
Practice locations: Wexford, PA

National Provider Directory

National Provider Directory

Locations

6400 Brooktree Ct
Ste 210
Wexford, PA 15090
Phone (412) 253-7125

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578182400000",
    "number": "1700429313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 BEAR RUN DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152371478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 BROOKTREE CT STE 210",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909250",
            "telephone_number": "412-253-7125",
            "fax_number": "412-253-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYFARING PSYCHOLOGICAL WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-26",
        "last_updated": "2020-01-05",
        "certification_date": "2020-01-05",
        "status": "A",
        "authorized_official_last_name": "DUFFORD",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "571-992-5083",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2020; 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.