Individual provider Active NPI

Elizabeth Wolf Fourcade, M.D.

  • Psychiatry Physician
  • Pittsburgh, PA
National Provider Identifier
1891139457
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD456891 Issued in PA
Practice address
4 Allegheny Ctr BLDG 8TH
Pittsburgh, PA 15212-5255
Phone
(412) 330-4312
Fax
(412) 330-4377
NPI assigned
Apr 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD456891 PA Primary

Addresses

Primary practice location

4 Allegheny Ctr BLDG 8TH
Pittsburgh, PA 15212-5255

Mailing address

4 Allegheny Ctr., East Commons Prof BLDG, 8TH FL.
Dept. of Psychiatry, Allegheny Clinic
Pittsburgh, PA 15212
Phone (412) 330-4312

Other practice location 1

Department Of Psychiatry
HSC, T-10, room 020
Stony Brook, NY 11794-8108
Phone (631) 444-3005

Other identifiers 2

IdentifierTypeStateIssuer
14050483OtherCAQH
103328855MedicaidPA

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170905002891 PA Practitioner - Psychiatry 5092088591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cranberry Psychological Center, Inc.Group PAC ID 3072501626, 45 clinicians

Practice addresses (Care Compare)

100 Northpointe Cir
Suite 306
Seven Fields, PA 16046-7851
Phone (724) 772-4848

214 College Park PLZ
Johnstown, PA 15904-2833
Phone (814) 262-0025

321 Main St
Suite 4F
Johnstown, PA 15901-1632
Phone (814) 262-0025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD456891PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nulton Diagnostic & Treatment Center, PC Psychiatry CurrentSince Sep 2, 2019 Accepting new patients
Nulton Diagnostic & Treatment Center, PC. CurrentSince Sep 2, 2019 Accepting new patients
Cranberry Psychological Center, Inc. Psychiatry CurrentSince Sep 6, 2019 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

321 Main St
Ste 5H
Johnstown, PA 15901
Phone (814) 535-3310

214 College Park Plz
Johnstown, PA 15904
Phone (814) 262-0025

100 Northpointe Cir
Ste 306
Seven Fields, PA 16046
Phone (724) 772-4848

Organizations & group practices 4

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": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891139457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ALLEGHENY CTR., EAST COMMONS PROF BLDG, 8TH FL.",
            "address_2": "DEPT. OF PSYCHIATRY, ALLEGHENY CLINIC",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15212",
            "telephone_number": "412-330-4312",
            "fax_number": "412-330-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ALLEGHENY CTR BLDG 8TH",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125255",
            "telephone_number": "412-330-4312",
            "fax_number": "412-330-4377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Department Of Psychiatry",
            "address_2": "HSC, T-10, room 020",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117948108",
            "country_code": "US",
            "telephone_number": "631-444-3005",
            "fax_number": "631-444-7534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOURCADE",
        "first_name": "ELIZABETH",
        "middle_name": "WOLF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD456891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14050483",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103328855",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.