Paul D. Nussbaum, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PS006448-L Issued in PA

Practice address

7500 Brooktree Rd Ste 105
Wexford, PA 15090-9285

Phone

(412) 471-1195

NPI assigned

Oct 2, 2006

Last updated

Jul 29, 2021By the provider in NPPES

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

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brain Health Center, Inc

  • Clinical Neuropsychologist
  • Wexford, PA
  • NPI 1992042659
  Authorized official Same address or phone
• Ambulatory Pain Center

  • Specialist
  • Wexford, PA
  • NPI 1396974192
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1760575971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SEAVIEW CT APT 1802N",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341453374",
            "telephone_number": "412-471-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 BROOKTREE RD STE 105",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909285",
            "telephone_number": "412-471-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSSBAUM",
        "first_name": "PAUL",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS006448-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Notte, PHARM.D.
• David J Notte, PHARM.D
• Chelsea Novacic, PSYD
• Kayla Novosel, AUD
• Sarah Nowlen, DPT
• Eva Nye, AUD
• Jennifer L O'Brien, MA, LAPC, ICAADC
• Conor O'Donoghue, LPC
• Chase D O'Palka, LSW
• Bridget Anne O'Rourke, MD

• Clinical Neuropsychologist in Wexford, PA
• Providers in Wexford, PA by specialty
• Clinical Neuropsychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.