Matthew Rabinowitz
Individual provider Active NPI Psychologist · Loretto, PA
NPI 1972095479 · NPPES record last updated May 31, 2018
Key facts
- NPI
- 1972095479
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 020852 (NY)
- Practice address
- 772 Saint Joseph St
Loretto, PA 15940-7006 - Phone
- (814) 472-4140
- NPI assigned
- May 31, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020852 | NY | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 020852 | NY | Yes |
Addresses
Primary practice location
772 Saint Joseph St
Loretto, PA 15940-7006
Mailing address
503 Garber St
Hollidaysburg, PA 16648-1539
Phone (516) 318-7534
Other providers in Loretto, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.