Healthcare Provider Details

I. General information

NPI: 1588585251
Provider Name (Legal Business Name): PSYCHOTHERAPY ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 ASHWOOD DR STE 1201
CANONSBURG PA
15317-4982
US

IV. Provider business mailing address

125 CUMMINS AVE
HOUSTON PA
15342-1109
US

V. Phone/Fax

Practice location:
  • Phone: 724-884-0466
  • Fax:
Mailing address:
  • Phone: 724-554-0038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DEVYN NESTOR
Title or Position: PRACTICE OWNER/DIRECOTR
Credential: LCSW
Phone: 724-554-0038