COMMUNITY DIAGNOSTIC CENTER FOR CHILDREN (NPI# 1972155380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972155380 |
| Entity Type | Organization |
| Organization Name | COMMUNITY DIAGNOSTIC CENTER FOR CHILDREN |
| Practice Address |
160 N Craig St Ste 118 Pittsburgh PA 15213-2714 |
| Mailing Address |
332 W Penn Pl Pittsburgh PA 15224-2224 |
| Practice Telephone | 4126548263 |
| Mailing Telephone | 4126548263 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | JESSICA WALTERS (OWNER) |
| Authorized Official Telephone | 4126548263 |
| Authorized Official Credential | PHD, NCSP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | LICENSE | PS017372 | 01 |
| Street Address |
160 N CRAIG ST STE 118 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15213-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312951 | Bozena Agnieszka Brooks Larsen | Nurse Anesthetist, Certified Registered | Upmc Presbyterian, 200 Lothrop Street, Pittsburgh, PA 15213 | 2020-10-05 |
| 1255942272 | Jessica Ann Joy | Nurse Practitioner | 200 Lothrop Street Muh E804, Pittsburgh, PA 15213 | 2020-08-13 |
| 1487264750 | Cornelius Norval Holmes | Counselor | Iacp - Upmc Center for Care of Infectious Diseases, Falk Medical Building, 3601 Fifth Avenue, Suite 700, Pittsburgh, PA 15213 | 2020-08-03 |
| 1396354338 | Brittany Briana Bromfield | Student in an Organized Health Care Education/Training Program | 3459 5th Ave S Ste #9, Pittsburgh, PA 15213 | 2020-07-27 |
| 1003434309 | Dominika Dulak | Student in an Organized Health Care Education/Training Program | 200 Lothrup St. Upmc Montefiore Hospital, Suite N715, Pittsburgh, PA 15213 | 2020-07-13 |
| 1477176303 | Clark Stallings | Student in an Organized Health Care Education/Training Program | 240 University Drive C, Pittsburgh, PA 15213 | 2020-05-27 |
| 1063034007 | Yue Qiu | Student in an Organized Health Care Education/Training Program | 3471 Fifth Avenue Kaufmann Bldg 4th Flr, Suite 402, Pittsburgh, PA 15213 | 2020-05-13 |
| 1598387516 | Bushra Usmani | Student in an Organized Health Care Education/Training Program | 200 Lothrop St. Upmc Montefiore Hospital, Suite N715, Pittsburgh, PA 15213 | 2020-05-13 |
| 1306468335 | Krupa Patel | Student in an Organized Health Care Education/Training Program | 3471 Fifth Avenue Kaufmann Bldg 4th Flr-suite 402, Pittsburgh, PA 15213 | 2020-05-13 |
| 1548882798 | Stephen Henry Bayer | Student in an Organized Health Care Education/Training Program | 3471 5th Ave Upmc Department of Orthopedic Surgery, Kaufman Medical Building Suite 1010, Pittsburgh, PA 15213 | 2020-05-11 |
| Find all providers in zip 15213 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366824880 | Psychological Perspectives LLC | Psychologist | 331 Regis Ave, Pittsburgh, PA 15236-1416 | 2015-06-20 |
| 1164831632 | Beth Ann Logan | Psychologist | 4401 Penn Ave # 6fp, Pittsburgh, PA 15224-1334 | 2014-08-08 |
| 1861822777 | Elizabeth Buckley Reitz | Psychologist | 1343 Old Meadow Rd, Pittsburgh, PA 15241-3425 | 2013-11-14 |
| 1790927440 | Mary Anne Gloninger Christ | Psychologist | 1700 N Highland Ave, Suite 103, Pittsburgh, PA 15241 | 2009-03-26 |
| 1275703894 | Patricia Pepe | Psychologist | 211 North Whitfield Street, Suite 500, Pittsburgh, PA 15206 | 2008-03-11 |
| 1033314018 | Michael P Marshal | Psychologist | 401 Shady Ave Ste A205, Pittsburgh, PA 15206-4450 | 2007-06-19 |
| 1144343195 | Stephen C. Strasser | Psychologist | 380 Roosevelt Rd, Pittsburgh, PA 15237-1025 | 2007-04-06 |
| 1689719452 | Robert A Reed | Psychologist | 202 Woodhaven Dr, Pittsburgh, PA 15228-1551 | 2007-02-20 |
| 1518981620 | Susan - Cherian | Psychologist | 134 Blackhawk Street, Pittsburgh, PA 15218-1150 | 2006-07-26 |
| 1518988237 | Mary C. Ruffennach | Psychologist | 4701 Baptist Rd, Manor Building Suite 208, Pittsburgh, PA 15227-1117 | 2006-07-21 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15213 |
Please comment or provide details below to improve the information on COMMUNITY DIAGNOSTIC CENTER FOR CHILDREN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.