MEDICARE: BAYWOOD CONSULTING LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC1900X	Counseling Psychologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	V01483	OTHER		UPMC PROVIDER NUMBER
2	334439	OTHER		BLUE SHIELD PROVIDERNUMBER

General Provider Information

NPI Number	:	1366022022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAYWOOD CONSULTING LTD

Provider Business Mailing Address
First Line	:	1580 MCLAUGHLIN RUN RD STE 216
Second Line	:
City	:	UPPER ST CLAIR
State	:	PA
Zip	:	15241-3100
Country	:	US
Telephone Number	:	724-941-0700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1580 MCLAUGHLIN RUN RD STE 216
Second Line	:
City	:	UPPER ST CLAIR
State	:	PA
Zip	:	15241-3100
Country	:	US
Telephone Number	:	724-941-0700
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	MS. CATHY PETCHEL
Credential	:	PSY
Telephone Number	:	412-225-9813

Provider Enumeration Date	:	04/08/2021
Last Update Date	:	01/23/2026

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Directions to “BAYWOOD CONSULTING LTD ” Practice Location

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