David Prybock, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS015862 Issued in PA

Practice address

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

Phone

(412) 952-5348

NPI assigned

Apr 4, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• The Offices of David Prybock PHD LLC

  • Clinical Psychologist
  • Pittsburgh, PA
  • NPI 1720466410
  NPD (past) Authorized official

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386460800000",
    "number": "1730352337",
    "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": {
        "last_name": "PRYBOCK",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-04",
        "last_updated": "2013-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Pruszynski, CRNP
• Jill B Pruszynski, CRNA
• Carolyn Rose Prutting
• John Mason Prutting
• Kaitlyn Pry, LCSW
• Karin Marie Prybock, M.S., CCC-SLP
• Oleksandr Pryimuk Pearsall, PA-C
• Sarah Kristin Przybyla, LPC
• Daniel Przybylak, RN
• Psalm 119 Ministries

• 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 Dec 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.