Individual provider Active NPI

Susan R Stollings, PHD

  • Psychologist
  • Pittsburgh, PA
National Provider Identifier
1710951389
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS008943L Issued in PA
Practice address
3459 5TH Ave
Muh, 9 South
Pittsburgh, PA 15213-3236
Phone
(412) 692-4888
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS008943L PA Primary

Addresses

Primary practice location

3459 5TH Ave
Muh, 9 South
Pittsburgh, PA 15213-3236

Mailing address

200 Lothrop St
Forbes Tower, Room 9055
Pittsburgh, PA 15213-2536
Phone (412) 647-3087

Other identifiers 1

IdentifierTypeStateIssuer
0017852340001MedicaidPA

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090825000443 PA Practitioner - Clinical Psychologist 3779638861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spiegel Freedman Psychological AssociatesGroup PAC ID 2365400934, 7 clinicians

Practice addresses (Care Compare)

105 Braunlich Dr
Suite 210
Pittsburgh, PA 15237-3351
Phone (412) 367-9800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS008943LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spiegel Freedman Psychological Associates Psychologist CurrentSince Jan 17, 2018 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 1, 2015 Accepting new patients
University of Pittsburgh Physicians Psychologist CurrentSince Sep 1, 2015 Accepting new patients

Locations

22681 Route 68
Clarion, PA 16214
Phone (814) 227-1221

2200 Memorial Dr
Farrell, PA 16121
Phone (724) 981-3500

105 Braunlich Dr
Ste 210
Pittsburgh, PA 15237
Phone (412) 367-9800

3459 5th Ave
#G
Pittsburgh, PA 15213
Phone (412) 648-6161

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000

200 Lothrop St
Rm 9055
Pittsburgh, PA 15213
Phone (412) 647-8384

Organizations & group practices 4

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1710951389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "address_2": "FORBES TOWER, ROOM 9055",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-647-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 5TH AVE",
            "address_2": "MUH, 9 SOUTH",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133236",
            "telephone_number": "412-692-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLLINGS",
        "first_name": "SUSAN",
        "middle_name": "R",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS008943L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017852340001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.