Healthcare Provider Details

I. General information

NPI: 1801911888
Provider Name (Legal Business Name): STEPHEN P. SCHACHNER ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 01/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 N CRAIG ST SUITE 208
PITTSBURGH PA
15213-2744
US

IV. Provider business mailing address

128 N CRAIG ST SUITE 208
PITTSBURGH PA
15213-2744
US

V. Phone/Fax

Practice location:
  • Phone: 412-683-1000
  • Fax: 412-683-1084
Mailing address:
  • Phone: 412-683-1000
  • Fax: 412-683-1084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC004123
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS-002053-L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number187-34-9581
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN-166409-L
License Number StatePA

VIII. Authorized Official

Name: DR. STEPHEN PAUL SCHACHNER
Title or Position: OWNER, LICENSED PSYCHOLOGIST
Credential: PH.D.
Phone: 412-683-1000