Individual provider Active NPI

Matthew Conlon, M.D.

  • Psychiatry Physician
  • Pittsburgh, PA
National Provider Identifier
1720406820
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD460224 Issued in PA
Practice address
110 Fort Couch Rd # G200
Pittsburgh, PA 15241-1030
Phone
(412) 347-0170
NPI assigned
Apr 4, 2014
Last updated
Jun 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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 MD460224 PA Primary

Addresses

Primary practice location

110 Fort Couch Rd # G200
Pittsburgh, PA 15241-1030

Mailing address

3811 Ohara St
Pittsburgh, PA 15213-2561
Phone (412) 246-5320

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
I20190715000620 PA Practitioner - Psychiatry 5799010625 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD460224PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Clair Medical Services Inc. CurrentSince Aug 1, 2019 Accepting new patients
Geisinger Clinic Current Accepting new patients
St Clair Medical Services, Inc. Psychiatry Current Accepting new patients
Geisinger Clinic CurrentSince Sep 6, 2022 Accepting new patients
St Clair Medical Services Inc CurrentSince Aug 1, 2019 Accepting new patients
Geisinger Clinic CurrentSince Sep 6, 2022 Accepting new patients
Associates in Clinical Psychiatry PC Psychiatry PastSince Oct 30, 2001 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1720406820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 OHARA ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132561",
            "telephone_number": "412-246-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FORT COUCH RD # G200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411030",
            "telephone_number": "412-347-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLON",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-04",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD460224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.