Individual provider Active NPI

Gregory Thorkelson, MD

  • Child & Adolescent Psychiatry Physician
  • Pittsburgh, PA
National Provider Identifier
1790949998
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD443605 Issued in PA
Practice address
5725 Forward Ave Ste 401
Pittsburgh, PA 15217-2255
Phone
(412) 214-0042
Fax
(412) 385-2468
NPI assigned
Jul 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MT193935 PA
Psychiatry Physician 2084P0800X ME138552 FL
Child & Adolescent Psychiatry Physician 2084P0804X MD443605 PA Primary

Addresses

Primary practice location

5725 Forward Ave Ste 401
Pittsburgh, PA 15217-2255

Mailing address

5725 Forward Ave Ste 401
Pittsburgh, PA 15217-2255
Phone (412) 214-0042

Other practice location 1

4414 N. Armenia Ave Suite 355
Tampa, FL 33607-6450
Phone (813) 413-6226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 21, 2022 through Jan 21, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME138552FLMDPsychiatry Physician
MT193935PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past Accepting new patients
The Nexus Group PC Child & Adolescent Psychiatry PastSince Feb 2, 2025 Accepting new patients

Organizations & group practices 2

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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1790949998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 FORWARD AVE STE 401",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172255",
            "telephone_number": "412-214-0042",
            "fax_number": "412-385-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 FORWARD AVE STE 401",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172255",
            "telephone_number": "412-214-0042",
            "fax_number": "412-385-2468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4414 N. Armenia Ave Suite 355",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076450",
            "country_code": "US",
            "telephone_number": "813-413-6226",
            "fax_number": "813-413-6222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORKELSON",
        "first_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MT193935",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME138552",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD443605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.