Organization Active NPI

Pittsburgh Psychiatry LLC

  • Psychiatry Physician
  • Penn Hills, PA
National Provider Identifier
1750825220
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD427389 Issued in PA
Legal business name
PITTSBURGH PSYCHIATRY LLC
Practice address
645 Rodi Rd
Ste 200
Penn Hills, PA 15235-4569
Phone
(412) 345-3517
Fax
(412) 365-5945
NPI assigned
Dec 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Mr. Alexandre Y. Dombrovski, MDNPI 1164469375
Title
Partner
Phone
(412) 345-3517

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD427389 PA Primary

Addresses

Primary practice location

645 Rodi Rd
Ste 200
Penn Hills, PA 15235-4569

Mailing address

645 Rodi Rd Ste 200
Penn Hills, PA 15235-4569
Phone (412) 345-3517

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170330000349 PA Part B Supplier - Clinic/Group Practice 3870878002 Receives reassigned benefits from 2 practitioners
Practice locations: Penn Hills, PA

National Provider Directory

National Provider Directory

Locations

645 Rodi Rd
Ste 200
Pittsburgh, PA 15235
Phone (412) 345-3517

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1750825220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 RODI RD STE 200",
            "city": "PENN HILLS",
            "state": "PA",
            "postal_code": "152354569",
            "telephone_number": "412-345-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 RODI RD",
            "address_2": "STE 200",
            "city": "PENN HILLS",
            "state": "PA",
            "postal_code": "152354569",
            "telephone_number": "412-345-3517",
            "fax_number": "412-365-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSBURGH PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-18",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "DOMBROVSKI",
        "authorized_official_first_name": "ALEXANDRE",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "412-345-3517",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD427389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penn Hills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.