Individual provider Active NPI

Andrea Marie Vanestenberg, PH.D.

  • Psychologist
  • Greensburg, PA
National Provider Identifier
1831213859
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6404 Issued in OH
Practice address
56 Sheraton Dr
Suite 200
Greensburg, PA 15601-7555
Phone
(724) 420-5731
Fax
(724) 420-5732
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC004206 PA
Psychologist 103T00000X 6404 OH Primary

Addresses

Primary practice location

56 Sheraton Dr
Suite 200
Greensburg, PA 15601-7555

Mailing address

56 Sheraton Dr
Suite 200
Greensburg, PA 15601-7555
Phone (724) 420-5731

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PC004206PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea Vanestenberg PD.D LLC Psychologist CurrentSince Jan 1, 2021 Accepting new patients

Locations

4000 Hempfield Plaza Blvd
Ste 916
Greensburg, PA 15601
Phone (724) 691-0363

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1831213859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 SHERATON DR",
            "address_2": "SUITE 200",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017555",
            "telephone_number": "724-420-5731",
            "fax_number": "724-420-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 SHERATON DR",
            "address_2": "SUITE 200",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017555",
            "telephone_number": "724-420-5731",
            "fax_number": "724-420-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANESTENBERG",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004206",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.