Healthcare Provider Details

I. General information

NPI: 1154342632
Provider Name (Legal Business Name): JOHN MCCARTHY PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 LOCUST ST
PITTSBURGH PA
15218-1419
US

IV. Provider business mailing address

445 LOCUST ST
PITTSBURGH PA
15218-1419
US

V. Phone/Fax

Practice location:
  • Phone: 412-720-6681
  • Fax:
Mailing address:
  • Phone: 412-720-6681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPC002963
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPS-008920-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: