Robert S. Bodnar, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS-003621-L Issued in PA

Practice address

215 Executive Dr
Suite 102
Cranberry TWP, PA 16066-6406

Phone

(724) 776-5690

Fax

(724) 776-5611

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Psychotherapy Services of Cranberry, P.C.

  • Community/Behavioral Health Agency
  • Cranberry TWP, PA
  • NPI 1427264407
  NPD (past) Authorized official

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881713006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 EXECUTIVE DR",
            "address_2": "SUITE 102",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666406",
            "telephone_number": "724-776-5690",
            "fax_number": "724-776-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 EXECUTIVE DR",
            "address_2": "SUITE 102",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666406",
            "telephone_number": "724-776-5690",
            "fax_number": "724-776-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODNAR",
        "first_name": "ROBERT",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-003621-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "570835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROMISE",
            "identifier": "19-001834802",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "215834",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41-01834802",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VBH-PA",
            "identifier": "058172 A041153",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "61-00250",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VBH-PA",
            "identifier": "058172 A796230",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2023505",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4587159",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Belmonte, LCSW
• Erin Benacquista, MS
• Kristopher Bernardo
• Blackburn's Physicians Pharmacy, Inc. (Blackburn's)
• Ashley Blazewick
• Dawn Sebesta Boggs, L.P.C.
• Jocelyn Bolewitz
• Heather Ann Boss, MSLPCCCSLP
• Michael William Bowman, MD
• Megan Brelloch, PTA

• Clinical Psychologist in Cranberry TWP, PA
• Providers in Cranberry TWP, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.