Individual provider Active NPI

Tiffany Michelle Ninehouser, PSY.D.

  • Student in an Organized Health Care Education/Training Program
  • Concord, CA
National Provider Identifier
1881864593
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1333 Willow Pass Rd Ste 102
Portia Bell Hume Behavioral Health and Training Center
Concord, CA 94520
Phone
(925) 825-7094
NPI assigned
Mar 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1333 Willow Pass Rd Ste 102
Portia Bell Hume Behavioral Health and Training Center
Concord, CA 94520

Mailing address

1333 Willow Pass Rd Ste 102
Portia Bell Hume Behavioral Health and Training Center
Concord, CA 94520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121107000097 PA Practitioner - Clinical Psychologist 9032386297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upmc Advanced Practice ProvidersGroup PAC ID 4082836283, 22 clinicians

Practice addresses (Care Compare)

200 Lothrop St
Pittsburgh, PA 15213-2536
Phone (412) 864-0594

200 Lothrop Street Forbes Tower
Suite 10055 B
Pittsburgh, PA 15213-2536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Advanced Practice Providers CurrentSince Dec 2, 2024 Accepting new patients
Upmc Advanced Practice Providers Current Accepting new patients

Locations

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Ste 10055B
Pittsburgh, PA 15213
Phone (412) 864-0594

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1881864593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 WILLOW PASS RD STE 102",
            "address_2": "PORTIA BELL HUME BEHAVIORAL HEALTH AND TRAINING CENTER",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 WILLOW PASS RD STE 102",
            "address_2": "PORTIA BELL HUME BEHAVIORAL HEALTH AND TRAINING CENTER",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94520",
            "telephone_number": "925-825-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINEHOUSER",
        "first_name": "TIFFANY",
        "middle_name": "MICHELLE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.