Individual provider Active NPI

Nicholas William Carosella, MD

  • Psychiatry Physician
  • Bridgeville, PA
National Provider Identifier
1700997939
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD047902L Issued in PA
Practice address
1370 Washington Pike
Suite 303
Bridgeville, PA 15017-2862
Phone
(412) 206-0123
Fax
(412) 206-0128
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD047902L PA Primary

Addresses

Primary practice location

1370 Washington Pike
Suite 303
Bridgeville, PA 15017-2862

Mailing address

1370 Washington Pike
Suite 303
Bridgeville, PA 15017-2862
Phone (412) 206-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091130000017 PA Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 9537208822 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Virginia Commonwealth University, School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Persoma P.C.Group PAC ID 9436046828, 22 clinicians

Practice addresses (Care Compare)

2540 Monroeville Blvd
Monroeville, PA 15146-2329
Phone (412) 823-5155

300 Oxford Dr
Suite 110
Monroeville, PA 15146-2361
Phone (412) 823-5155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD047902LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Health Services, Inc. Current Accepting new patients
Persoma P.C. CurrentSince Dec 15, 2022 Accepting new patients
Primary Care Health Services, Inc. CurrentSince Feb 7, 2022 Accepting new patients
Primary Care Health Services Inc CurrentSince Feb 7, 2022 Accepting new patients
Washington Physician Services CurrentSince Oct 19, 2009 Accepting new patients

Locations

2540 Monroeville Blvd
Monroeville, PA 15146
Phone (412) 206-1411

61 McMurray Rd
Ste 404
Pittsburgh, PA 15241

7225 Hamilton Ave
Pittsburgh, PA 15208
Phone (412) 244-4700

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

95 Leonard Ave
Ste 300
Washington, PA 15301
Phone (724) 225-3640

Interoperability endpoints

  • Direct secure messaging: ncarosella@pchspitt.medentdirect.com

Organizations & group practices 5

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.

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": "1420588800000",
    "number": "1700997939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 WASHINGTON PIKE",
            "address_2": "SUITE 303",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172862",
            "telephone_number": "412-206-0123",
            "fax_number": "412-206-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 WASHINGTON PIKE",
            "address_2": "SUITE 303",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172862",
            "telephone_number": "412-206-0123",
            "fax_number": "412-206-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROSELLA",
        "first_name": "NICHOLAS",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD047902L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

Verify at the official NPI Registry.