Active NPI
David John Cordisco, PHD
- Psychologist
- Pittsburgh, PA
National Provider Identifier
1972669117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS003622L
- Practice address
- 1376 Freeport Rd
Pittsburgh, PA 15238-3110 - Phone
- (412) 963-7744
- Fax
- (412) 486-5059
- NPI assigned
- Dec 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 | PS003622L | PA | Primary |
Addresses
Primary practice location
1376 Freeport Rd
Pittsburgh, PA 15238-3110
Mailing address
1376 Freeport Rd
Pittsburgh, PA 15238-3110
Phone (412) 963-7744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160024 | Other | OR | HIGHMARK |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS003622L | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Psychotherapy Inc | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Pittsburgh, PA
- NPI 1568516045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972669117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1376 FREEPORT RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152383110",
"telephone_number": "412-963-7744",
"fax_number": "412-486-5059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1376 FREEPORT RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152383110",
"telephone_number": "412-963-7744",
"fax_number": "412-486-5059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDISCO",
"first_name": "DAVID",
"middle_name": "JOHN",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS003622L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "160024",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- 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.