Healthcare Provider Details

I. General information

NPI: 1962981860
Provider Name (Legal Business Name): OCD SPECTRUM, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2018
Last Update Date: 09/05/2023
Certification Date: 09/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 WASHINGTON AVE
BRIDGEVILLE PA
15017-2571
US

IV. Provider business mailing address

1889 SPRINGMONT DR
PITTSBURGH PA
15241-2158
US

V. Phone/Fax

Practice location:
  • Phone: 412-444-8776
  • Fax: 877-423-2073
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPS016833
License Number StatePA

VIII. Authorized Official

Name: DR. NICHOLAS FLOWER
Title or Position: PRESIDENT
Credential: PSY.D.
Phone: 412-444-8776