Provider Demographics
NPI:1033500814
Name:RE-CENTERED CARE
Entity Type:Organization
Organization Name:RE-CENTERED CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BLACK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:412-564-4788
Mailing Address - Street 1:PO BOX 215
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-0215
Mailing Address - Country:US
Mailing Address - Phone:412-564-4788
Mailing Address - Fax:855-649-1932
Practice Address - Street 1:618 BEAVER ST
Practice Address - Street 2:SUITE #104
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1906
Practice Address - Country:US
Practice Address - Phone:412-564-4788
Practice Address - Fax:855-649-1932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-14
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017631103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty