Individual provider Active NPI

Robin Elisabeth Hennessey, PSYD

  • Counseling Psychologist
  • Bethel Park, PA
National Provider Identifier
1770123507
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PS019498 Issued in PA
Practice address
2940 S Park Rd Ste 102
Bethel Park, PA 15102-1857
Phone
(412) 833-1800
NPI assigned
Jan 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Counseling Psychologist 103TC1900X PS019498 PA Primary

Addresses

Primary practice location

2940 S Park Rd Ste 102
Bethel Park, PA 15102-1857

Mailing address

2940 S Park Rd Ste 102
Bethel Park, PA 15102-1857
Phone (412) 833-1800

Other practice location 1

373 Burrows St
Pittsburgh, PA 15213-2201
Phone (412) 383-1550

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220316000717 PA Practitioner - Clinical Psychologist 4981099686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Donald J. Zandier, Jr., PCGroup PAC ID 3577982230, 4 clinicians

Practice addresses (Care Compare)

2940 S Park Rd
Bethel Park, PA 15102-1686
Phone (412) 833-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS019498PAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Donald J. Zandier, Jr., PC CurrentSince Mar 10, 2022 Accepting new patients

Locations

2940 S Park Rd
Ste 102
Bethel Park, PA 15102
Phone (412) 833-1800

2940 S Park Rd
Bethel Park, PA 15102
Phone (412) 833-1800

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1770123507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 S PARK RD STE 102",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021857",
            "telephone_number": "412-833-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 S PARK RD STE 102",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021857",
            "telephone_number": "412-833-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "373 Burrows St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152132201",
            "country_code": "US",
            "telephone_number": "412-383-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNESSEY",
        "first_name": "ROBIN",
        "middle_name": "ELISABETH",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS019498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.