Organization Active NPI

Cognitive Dynamic Therapy Associates Inc

  • Psychologist
  • Pittsburgh, PA
National Provider Identifier
1730294026
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS003286L Issued in PA
Legal business name
COGNITIVE DYNAMIC THERAPY ASSOCIATES INC
Practice address
155 N Craig Street
Suite 170
Pittsburgh, PA 15213
Phone
(412) 687-8700
Fax
(412) 687-6808
NPI assigned
Aug 20, 2006
Last updated
Mar 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Lawrence M Glanz, PHDNPI 1881657112
Title
Psychologist Officer of Corporation
Phone
41266878700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS003484L PA
Psychologist 103T00000X PS003286L PA Primary
Psychologist 103T00000X PS008790L PA
Psychologist 103T00000X PS015188L PA
Psychologist 103T00000X PS015150L PA
Psychologist 103T00000X PS008424L PA
Psychologist 103T00000X PS009267L PA
Psychologist 103T00000X PS015021L PA
Psychologist 103T00000X PC003890L PA
Social Worker 104100000X CW001050L PA
Social Worker 104100000X CW012126L PA

Addresses

Primary practice location

155 N Craig Street
Suite 170
Pittsburgh, PA 15213

Mailing address

155 N Craig Street
Suite 170
Pittsburgh, PA 15213
Phone (412) 687-8700

Other identifiers 2

IdentifierTypeStateIssuer
630549OtherPAHIGHMARK BLUE CROSS
5099423OtherPAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031121000123 PA Part B Supplier - Clinic/Group Practice 9537063599 Receives reassigned benefits from 3 practitioners
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

155 N Craig St
Ste 170
Pittsburgh, PA 15213
Phone (412) 687-8700

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1730294026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N CRAIG STREET",
            "address_2": "SUITE 170",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15213",
            "telephone_number": "412-687-8700",
            "fax_number": "412-687-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N CRAIG STREET",
            "address_2": "SUITE 170",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15213",
            "telephone_number": "412-687-8700",
            "fax_number": "412-687-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE DYNAMIC THERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "GLANZ",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOLOGIST OFFICER OF CORPORATION",
        "authorized_official_telephone_number": "41266878700",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS003484L",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS003286L",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS008790L",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS015188L",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS015150L",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS008424L",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS009267L",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS015021L",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PC003890L",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "CW001050L",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "CW012126L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS",
            "identifier": "630549",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5099423",
            "state": "PA"
        }
    ],
    "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 Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.