Healthcare Provider Details

I. General information

NPI: 1902936701
Provider Name (Legal Business Name): MATERNA PSYCHOLOGICAL SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 N HERMITAGE RD BUILDING ONE, LOWER LEVEL
HERMITAGE PA
16148-3234
US

IV. Provider business mailing address

701 N HERMITAGE RD BUILDING ONE, LOWER LEVEL
HERMITAGE PA
16148-3234
US

V. Phone/Fax

Practice location:
  • Phone: 724-346-4510
  • Fax: 724-346-4511
Mailing address:
  • Phone: 724-346-4510
  • Fax: 724-346-4511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS006635L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS007793L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License NumberPS006635L
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License NumberPS006635L
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License NumberPS007793L
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPS006635L
License Number StatePA
# 7
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPS007793L
License Number StatePA
# 8
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS006635L
License Number StatePA
# 9
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS007793L
License Number StatePA
# 10
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPS006635L
License Number StatePA
# 11
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPS007793L
License Number StatePA
# 12
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License NumberPS006635L
License Number StatePA
# 13
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License NumberPS007793L
License Number StatePA
# 14
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License NumberPS006635L
License Number StatePA
# 15
Primary TaxonomyY
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License NumberPS007793L
License Number StatePA

VIII. Authorized Official

Name: DR. JILL K MATERNA
Title or Position: PSYCHOLOGIST CO-OWNER
Credential: PSY.D.
Phone: 724-346-4510