Provider Demographics
NPI:1649984949
Name:KC PSYCHOLOGICAL SERVICES LLC
Entity type:Organization
Organization Name:KC PSYCHOLOGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KAYLEE
Authorized Official - Middle Name:L
Authorized Official - Last Name:CURILLA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:412-477-3430
Mailing Address - Street 1:258 42ND ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-2837
Mailing Address - Country:US
Mailing Address - Phone:412-477-3430
Mailing Address - Fax:
Practice Address - Street 1:258 42ND ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201-2837
Practice Address - Country:US
Practice Address - Phone:412-477-3430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1851848584OtherPABLS
1851848584OtherUPMC