Individual provider Active NPI

Brenda S Cole, PHD

  • Psychologist
  • Washington, PA
National Provider Identifier
1881665198
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS015173 Issued in PA
Practice address
90 W Chestnut St
Suite 609
Washington, PA 15301-4524
Phone
(412) 913-3815
Fax
(724) 222-1189
NPI assigned
Jan 27, 2006
Last updated
Apr 27, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS015173 PA Primary

Addresses

Primary practice location

90 W Chestnut St
Suite 609
Washington, PA 15301-4524

Mailing address

90 W Chestnut St
Suite 609
Washington, PA 15301-4524
Phone (412) 913-3815

Other identifiers 1

IdentifierTypeStateIssuer
001941894MedicaidPA

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
PS015173PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Resources LTD Psychologist Past Accepting new patients
Comprehensive Couseling, LLP Past Accepting new patients

Organizations & group practices 2

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1881665198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 W CHESTNUT ST",
            "address_2": "SUITE 609",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014524",
            "telephone_number": "412-913-3815",
            "fax_number": "724-222-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 W CHESTNUT ST",
            "address_2": "SUITE 609",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014524",
            "telephone_number": "412-913-3815",
            "fax_number": "724-222-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "BRENDA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS015173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001941894",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.