Individual provider Active NPI

Noel Suzanne Maurizi, PSYD.

  • Counseling Psychologist
  • Elizabeth, PA
National Provider Identifier
1811733215
Registry record updated Jul 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Practice address
95 Enterprise St Ste 104
Elizabeth, PA 15037-2070
Phone
(412) 754-1100
NPI assigned
Jul 4, 2024
Last updated
Jul 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X Primary

Addresses

Primary practice location

95 Enterprise St Ste 104
Elizabeth, PA 15037-2070

Mailing address

1111 Preston Dr
North Versailles, PA 15137-2713
Phone (412) 897-4823

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241108003810 PA Practitioner - Clinical Psychologist 2668906991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanderson Psychological LLCGroup PAC ID 0941572184, 12 clinicians

Practice addresses (Care Compare)

95 Enterprise St
Suite 104
Elizabeth, PA 15037-2070
Phone (412) 754-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sanderson Psychological, LLC CurrentSince Oct 8, 2024 Accepting new patients

Locations

95 Enterprise St
Ste 104
Elizabeth, PA 15037
Phone (412) 754-1100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1720051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720224000000",
    "number": "1811733215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 PRESTON DR",
            "city": "NORTH VERSAILLES",
            "state": "PA",
            "postal_code": "151372713",
            "telephone_number": "412-897-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ENTERPRISE ST STE 104",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150372070",
            "telephone_number": "412-754-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURIZI",
        "first_name": "NOEL",
        "middle_name": "SUZANNE",
        "credential": "PSYD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-04",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, PA

Sources for this page

Verify at the official NPI Registry.