Organization Active NPI

Geriatric Psychological Associate Inc

  • Clinical Psychologist
  • Pittsburgh, PA
National Provider Identifier
1851341747
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
001741210 Issued in PA
Legal business name
GERIATRIC PSYCHOLOGICAL ASSOCIATE INC
Practice address
122 Emerson Ave
Pittsburgh, PA 15215-3208
Phone
(412) 782-3510
Fax
(412) 782-6860
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Mr. Wayne Anthony Hoover, PHDNPI 1780620732
Title
Chief Executive Officer
Phone
41278223510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 001741210 PA Primary

Addresses

Primary practice location

122 Emerson Ave
Pittsburgh, PA 15215-3208

Mailing address

122 Emerson Ave
Pittsburgh, PA 15215-3208
Phone (412) 782-3510

Other identifiers 2

IdentifierTypeStateIssuer
001741210OtherPABCBS
101839230MedicaidPA

National Provider Directory

National Provider Directory

Locations

228 1st St
Aspinwall, PA 15215
Phone (412) 460-2085

201 Hospital Dr
Meyersdale, PA 15552
Phone (814) 443-3265

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1851341747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 EMERSON AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152153208",
            "telephone_number": "412-782-3510",
            "fax_number": "412-782-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 EMERSON AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152153208",
            "telephone_number": "412-782-3510",
            "fax_number": "412-782-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC PSYCHOLOGICAL ASSOCIATE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "41278223510",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "001741210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001741210",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101839230",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.