Individual provider Active NPI

Donna M. Bednarek, PH.D, LICENSED PSYCH

  • Family Psychologist
  • Sewickley, PA
National Provider Identifier
1770579823
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
PS004994L Issued in PA
Practice address
424 Frederick Ave
Sewickley, PA 15143-1523
Phone
(412) 741-4087
Fax
(412) 741-6808
NPI assigned
Sep 23, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X PS004994L PA
Clinical Child & Adolescent Psychologist 103TC2200X PS004994L PA
Family Psychologist 103TF0000X PS004994L PA Primary

Addresses

Primary practice location

424 Frederick Ave
Sewickley, PA 15143-1523

Mailing address

424 Frederick Ave
Sewickley, PA 15143-1523
Phone (412) 741-4087

Other identifiers 5

IdentifierTypeStateIssuer
202716OtherPAWBH (UPMC COMMERCIAL)
243331A189092MedicaidPA
243331OtherPAVALUE OPTIONS COMMERCIAL
068127OtherPABLUE CROSS BLUE SHIELD
0015858500001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS004994LPAMDFamily Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1770579823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 FREDERICK AVE",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431523",
            "telephone_number": "412-741-4087",
            "fax_number": "412-741-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 FREDERICK AVE",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431523",
            "telephone_number": "412-741-4087",
            "fax_number": "412-741-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDNAREK",
        "first_name": "DONNA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D, LICENSED PSYCH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PA",
            "license": "PS004994L",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS004994L",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "PA",
            "license": "PS004994L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WBH (UPMC COMMERCIAL)",
            "identifier": "202716",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243331A189092",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS COMMERCIAL",
            "identifier": "243331",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "068127",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015858500001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.