Organization Active NPI

Wellqor Psychological Services of Florida, PA

  • Psychologist
  • Wexford, PA
National Provider Identifier
1982148474
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
WELLQOR PSYCHOLOGICAL SERVICES OF FLORIDA, PA
Practice address
100 Bradford Rd
Suite 200
Wexford, PA 15090-8486
Phone
(724) 719-2833
NPI assigned
Dec 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Authorized official

Name
Paul Nussbaum, PHD
Title
President
Phone
(724) 719-2833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

100 Bradford Rd
Suite 200
Wexford, PA 15090-8486

Mailing address

100 Bradford Rd
Suite 200
Wexford, PA 15090-8486

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1982148474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BRADFORD RD",
            "address_2": "SUITE 200",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRADFORD RD",
            "address_2": "SUITE 200",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908486",
            "telephone_number": "724-719-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLQOR PSYCHOLOGICAL SERVICES OF FLORIDA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-719-2833",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.