Angela Marie Fidazzo, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS020006 Issued in PA

Practice address

1386 Old Freeport Rd Ste 1Af
Pittsburgh, PA 15238-3115

Phone

(412) 406-7052

NPI assigned

Oct 17, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Positive Directions Psychological ServicesGroup PAC ID 8022470764, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Positive Directions Psychological Services

  • Clinical Psychologist
  • Harrison City, PA
  • NPI 1376252403
  Medicare reassignment Care Compare group NPD
• Orenda Counseling Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pittsburgh, PA
  • NPI 1386016624
  Medicare reassignment NPD

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1801678685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LORRIE DR",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156429419",
            "telephone_number": "724-757-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1386 OLD FREEPORT RD STE 1AF",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383115",
            "telephone_number": "412-406-7052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3344 Route 130 Ste D",
            "address_purpose": "LOCATION",
            "city": "Harrison City",
            "state": "PA",
            "postal_code": "156361205",
            "country_code": "US",
            "telephone_number": "724-787-7537",
            "fax_number": "724-221-3822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIDAZZO",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS020006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Ficca
• Jessica Fichner, CRNP
• Andrea Fick, MS, BCBA
• Steven Fickner, PA-C
• Courtney Ficorilli
• Madison Kathryn Fiebelkorn, PA
• Katelyn Elizabeth Fiehler, D.O.
• Christianna Field-Green
• Bethany R Field, M.ED, NCC
• Megan Field

• Psychologist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.