Individual provider Active NPI

Stephen A. Gostowski, M.A., L.P.

  • Psychologist
  • Pittsburgh, PA
National Provider Identifier
1720004005
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P5006931L Issued in PA
Practice address
1200 Reedsdale Street
Pittsburgh, PA 15233
Phone
(412) 323-4543
Fax
(412) 323-4507
NPI assigned
Jul 13, 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 P5006931L PA Primary

Addresses

Primary practice location

1200 Reedsdale Street
Pittsburgh, PA 15233

Mailing address

1200 Reedsdale Street
Pittsburgh, PA 15233
Phone (412) 323-4543

Other identifiers 1

IdentifierTypeStateIssuer
489576OtherHIGHMARK

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
P5006931LPAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720004005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 REEDSDALE STREET",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15233",
            "telephone_number": "412-323-4543",
            "fax_number": "412-323-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 REEDSDALE STREET",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15233",
            "telephone_number": "412-323-4543",
            "fax_number": "412-323-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSTOWSKI",
        "first_name": "STEPHEN",
        "middle_name": "A.",
        "credential": "M.A., L.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "P5006931L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "489576",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, 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.