Active NPI
Wayne Anthony Hoover, PHD
- Clinical Psychologist
- Pittsburgh, PA
National Provider Identifier
1780620732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS0087562
- Practice address
- 122 Emerson Ave
Pittsburgh, PA 15215-3208 - Phone
- (412) 782-3510
- Fax
- (412) 782-6860
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS0087562 | PA | Primary |
Addresses
Primary practice location
122 Emerson Ave
Pittsburgh, PA 15215-3208
Mailing address
122 Emerson Ave
Pittsburgh, PA 15215-3208
Phone (412) 781-9487
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00171015330001 | Medicaid | PA | |
| 1545921 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050131000009 | PA | Practitioner - Clinical Psychologist | 5991755944 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS0087562 | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Associates of Western PA, P.C. | Past | Accepting new patients |
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.
-
- Specialist
- Wilkinsburg, PA
- NPI 1588712269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1780620732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 EMERSON AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152153208",
"telephone_number": "412-781-9487",
"fax_number": "412-782-6860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 EMERSON AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152153208",
"telephone_number": "412-782-3510",
"fax_number": "412-782-6860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOVER",
"first_name": "WAYNE",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS0087562",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00171015330001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1545921",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.