Healthcare Provider Details

I. General information

NPI: 1669173795
Provider Name (Legal Business Name): KATEY DYANNE THIRY PMHNP BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2023
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5250 CASTE DR
PITTSBURGH PA
15236-1502
US

IV. Provider business mailing address

6000 WATERDAM PLAZA DR
CANONSBURG PA
15317-5413
US

V. Phone/Fax

Practice location:
  • Phone: 412-885-7017
  • Fax:
Mailing address:
  • Phone: 412-923-6070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberRN664424
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP028772
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: