Active NPI
Richard McLellan Pry, PH.D.
- Psychologist
- Murrysville, PA
National Provider Identifier
1902802341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS003475L
- Practice address
- 4345 Old William Penn Hwy
Murrysville, PA 15668-1949 - Phone
- (724) 325-2229
- Fax
- (724) 327-3176
- NPI assigned
- Jun 21, 2005
- Reactivated
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS003475L | PA | Primary |
Addresses
Primary practice location
4345 Old William Penn Hwy
Murrysville, PA 15668-1949
Mailing address
4345 Old William Penn Hwy
Murrysville, PA 15668-1949
Phone (724) 325-2229
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS003475L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293062400000",
"number": "1902802341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4345 OLD WILLIAM PENN HWY",
"city": "MURRYSVILLE",
"state": "PA",
"postal_code": "156681949",
"telephone_number": "724-325-2229",
"fax_number": "724-327-3176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4345 OLD WILLIAM PENN HWY",
"city": "MURRYSVILLE",
"state": "PA",
"postal_code": "156681949",
"telephone_number": "724-325-2229",
"fax_number": "724-327-3176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRY",
"first_name": "RICHARD",
"middle_name": "MCLELLAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2010-12-23",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS003475L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrysville, PA
- Pine Valley Chiropractic Clinic, Inc.
- Pittsburgh Center for Integrative Therapy LLC
- Amy Susan Porado, MOT,OTR/L, CMLDT
- Carol J. Power, LPC, NCC,CCMHC
- Prac Holdings, Inc.
- Hope Elizabeth Puerzer, SLT
- Dominic Anthony Raggi
- David E. Rambacher, D.C.
- Rebecca Shelley Golden-Trist
- Rebecca Lynn Reefer, DNP, FNP-C, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.