SHELLEY LYNN ROISEN PHD NPI 1003872896

Psychologist in Pittsburgh, PA

About SHELLEY ROISEN

Shelley Roisen is a provider in Pittsburgh, PA with more than 22 years of experience. The NPI number assigned to this provider is 1003872896. The practitioner's primary taxonomy code is Psychologist (103T00000X). The provider is registered as an individual and their NPI record was last updated 7 years ago. Shelley Roisen is registered with Medicare and accepts claims assignment.

NPI1003872896 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name SHELLEY LYNN ROISEN PHD
Provider Location Address700 BLAW AVE SUITE 201 PITTSBURGH, PA 15238 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address307 S DITHRIDGE ST APT 608 PITTSBURGH, PA 15213 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameOTHER
Graduation Year1996
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-21-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date04-07-2011 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

SHELLEY LYNN ROISEN PHD
700 BLAW AVE
SUITE 201
PITTSBURGH, PA
ZIP 15238
Phone: (412) 820-2400
Fax: (412) 820-2401
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Mailing Address

SHELLEY LYNN ROISEN PHD
307 S DITHRIDGE ST
APT 608
PITTSBURGH, PA
ZIP 15213
Phone: (412) 820-2400
Fax: (412) 820-2401

Primary Taxonomy

Taxonomy Code103T00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
License No.PS008666L
License StatePA
Taxonomy DescriptionA psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
115174OTHER (01)PA
P20805MEDICARE UPIN (02)
276881OTHER (01)PA
044085MEDICARE ID-TYPE UNSPECIFIED (04)PA
01856837MEDICAID (05)PA
201519OTHER (01)PA

Map Location


SHELLEY LYNN ROISEN PHD address is 700 BLAW AVE SUITE 201 PITTSBURGH, PA 15238