Douglas Joseph Puchko

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

239 4TH Ave Ste 1801
Pittsburgh, PA 15222-1716

Phone

(833) 274-4325

NPI assigned

Apr 30, 2021

Last updated

Apr 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Evidence Based Therapy & Wellness LLC

  dba Makin Wellness

  • Professional Counselor
  • Pittsburgh, PA
  • NPI 1003322298
  NPD (past)

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1881277523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 NANTASKET ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152071064",
            "telephone_number": "814-243-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 4TH AVE STE 1801",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152221716",
            "telephone_number": "833-274-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCHKO",
        "first_name": "DOUGLAS",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ranata Ptomey
• Marissa Puc, PHARMD
• Kathy Pucci, CRNA
• Elena Puccio, MD
• Rachel E Puchalski, PA-C
• Brian Puder
• Mikayla Pudlo, CRNP
• Marian Puet
• Hannah Puetz
• Sangami Pugazenthi, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.