Healthcare Provider Details

I. General information

NPI: 1669173795
Provider Name (Legal Business Name): KATEY DYANNE THIRY PMHNP BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2023
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 WASHINGTON AVE
CARNEGIE PA
15106-4112
US

IV. Provider business mailing address

703 WASHINGTON AVE
CARNEGIE PA
15106-4112
US

V. Phone/Fax

Practice location:
  • Phone: 412-294-8287
  • Fax: 412-844-2052
Mailing address:
  • Phone: 412-294-8287
  • Fax: 412-244-8052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP028772
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberRN664424
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: