The Offices of David Prybock PHD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS015862 Issued in PA

Legal business name

THE OFFICES OF DAVID PRYBOCK PHD LLC

Practice address

134 S Highland Ave
Suite 17
Pittsburgh, PA 15206-3968

Phone

(412) 952-5348

NPI assigned

May 13, 2015

Last updated

May 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Prybock, PH.D.NPI 1730352337

Title

Licensed Psychologist

Phone

(412) 952-5348

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Prybock, PH.D.

  • Clinical Psychologist
  • Pittsburgh, PA
  • NPI 1730352337
  NPD (past) Authorized official

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1720466410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 S HIGHLAND AVE",
            "address_2": "SUITE 17",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063968",
            "telephone_number": "412-952-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 S HIGHLAND AVE",
            "address_2": "SUITE 17",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063968",
            "telephone_number": "412-952-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OFFICES OF DAVID PRYBOCK PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "PRYBOCK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "412-952-5348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102993851 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.