MEDICARE: JAMES E ORTH PHD

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	103TC2200X	Clinical Child & Adolescent Psychologist	2275	MD
2	103TC0700X	Clinical Psychologist	PS-005548-L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	411516	OTHER		UPMC
2	001690540	OTHER		HIGHMARK BCBS

General Provider Information

NPI Number	:	1447356605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES E ORTH PHD

Provider Business Mailing Address
First Line	:	245 RUNNING HORSE LN
Second Line	:
City	:	MEYERSDALE
State	:	PA
Zip	:	15552-9049
Country	:	US
Telephone Number	:	814-442-3746
Fax Number	:

Provider Business Practice Location Address
First Line	:	363 VANADIUM RD STE 105
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15243-1477
Country	:	US
Telephone Number	:	412-368-2211
Fax Number	:	412-279-1418

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	03/28/2024

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Directions to “ JAMES E ORTH PHD” Practice Location

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