Individual provider Active NPI

Wayne Anthony Hoover, PHD

  • Clinical Psychologist
  • Pittsburgh, PA
National Provider Identifier
1780620732
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS0087562 Issued in PA
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

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00171015330001MedicaidPA
1545921OtherBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050131000009 PA Practitioner - Clinical Psychologist 5991755944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS0087562PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.