Active NPI
Joseph John Dambrauskas, M.D.
- Child & Adolescent Psychiatry Physician
- Carnegie, PA
National Provider Identifier
1700855368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD027571E
- Practice address
- 722 Sarah Street
Left Front
Carnegie, PA 15106-0112 - Phone
- (708) 262-0004
- NPI assigned
- Mar 16, 2006
- Last updated
- Jan 22, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 206737 | MA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 2002-0403 | NM | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD027571E | PA | Primary |
Addresses
Primary practice location
722 Sarah Street
Left Front
Carnegie, PA 15106-0112
Mailing address
1005 S 6TH St
Apt 15
Champaign, IL 61820-6227
Phone (217) 344-2646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1830797 | Medicaid | PA |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206737 | MA | MD | Child & Adolescent Psychiatry Physician |
| 2002-0403 | NM | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wpic Physician Practice Corp Inc | Past | Accepting new patients | |
| DHHS PHS Naihs Fort Defiance Hospital | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- Pittsburgh, PA
- NPI 1356319313
-
dba PHS Fort Defiance Indian Hospital
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1700962131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1700855368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 S 6TH ST",
"address_2": "APT 15",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618206227",
"telephone_number": "217-344-2646",
"fax_number": "217-344-2646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 SARAH STREET",
"address_2": "LEFT FRONT",
"city": "CARNEGIE",
"state": "PA",
"postal_code": "151060112",
"telephone_number": "708-262-0004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMBRAUSKAS",
"first_name": "JOSEPH",
"middle_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MA",
"license": "206737",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NM",
"license": "2002-0403",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "MD027571E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1830797",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carnegie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.