Healthcare Provider Details
I. General information
NPI: 1285307371
Provider Name (Legal Business Name): 1ON1PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/26/2021
Last Update Date: 07/26/2021
Certification Date: 07/26/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1309 MCKINLEY DR
JEFFERSON HILLS PA
15025-2736
US
IV. Provider business mailing address
1309 MCKINLEY DR
JEFFERSON HILLS PA
15025-2736
US
V. Phone/Fax
- Phone: 412-951-7599
- Fax:
- Phone: 412-951-7599
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 01534898 |
| Identifier Type | MEDICAID |
| Identifier State | PA |
| Identifier Issuer | |
| # 2 | |
| Identifier | 1225089659 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | PSYCHIATRY |
VIII. Authorized Official
Name: DR.
SHARON
GAIL
RECHTER
Title or Position: PSYCHIATRIST
Credential: MD
Phone: 412-951-7599