Individual provider Active NPI

Deborah Ann Nardelli, MA

  • Clinical Psychologist
  • New Kensington, PA
National Provider Identifier
1811903701
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS-006975-L Issued in PA
Practice address
360 Freeport St Ste 208
New Kensington, PA 15068-6015
Phone
(412) 828-8500
Fax
(412) 828-0765
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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 PS-006975-L PA Primary

Addresses

Primary practice location

360 Freeport St Ste 208
New Kensington, PA 15068-6015

Mailing address

360 Freeport St Ste 208
New Kensington, PA 15068-6015
Phone (412) 828-8500

Other names 1

  • Deborah Ann Pish Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PS-006975-LPAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1811903701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 FREEPORT ST STE 208",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150686015",
            "telephone_number": "412-828-8500",
            "fax_number": "412-828-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 FREEPORT ST STE 208",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150686015",
            "telephone_number": "412-828-8500",
            "fax_number": "412-828-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARDELLI",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-006975-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "PISH",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Kensington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.