A & A PSYCHOLOGICAL SERVICE PC — NPI 1972759413 (Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical Child & Adolescent in FARRELL, PA)

CMS-1500 Box 24J / 33a • NPI

1972759413

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

103TC2200X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical Child & Adolescent

Box 32 Service Location & ZIP+4

500 DARR AVE, FARRELL, PA, 16121-2022

✓ 9-Digit EDI 837 ZIP+4 (16121-2022)

Practice Phone & Referral Fax

(724) 630-3978

Fax: (724) 728-3160

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1972759413 (A & A PSYCHOLOGICAL SERVICE PC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1972759413` (NPI-2 Organization / Facility)
Provider / Legal Name	A & A PSYCHOLOGICAL SERVICE PC
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical Child & Adolescent NUCC Code: `103TC2200X` (Psychologist, Clinical Child & Adolescent)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	500 DARR AVE, FARRELL, PA, 16121-2022
Practice Telephone / Fax	Tel: (724) 630-3978 \| Fax: (724) 728-3160
Administrative Mailing Address	190 STONE QUARRY RD, MONACA, PA, 15061-2448
Enumeration & Last Sync	Enumerated: 2008-08-15 \| CMS Record Updated: 2009-09-02
Authorized Official	SHANNON LIMERICK-GNAS (Licensed Psychologist)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

500 DARR AVE, FARRELL, PA, 16121-2022

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Plain-English Taxonomy & CMS Crosswalk (103TC2200X)

What Does Taxonomy Code 103TC2200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TC2200X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical Child & Adolescent"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Clinical Child & Adolescent for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (A & A PSYCHOLOGICAL SERVICE PC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103T00000X` — Psychologist Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist	State: PA \| License: `PS006277 L` \| Primary: Secondary
`103TB0200X` — Psychologist, Cognitive & Behavioral Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral	State: PA \| License: `PS 006277 L` \| Primary: Secondary
`103TC0700X` — Psychologist, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical	State: PA \| License: `ps006277 L` \| Primary: Secondary
`103TC1900X` — Psychologist, Counseling Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Counseling	State: PA \| License: `ps006277 L` \| Primary: Secondary
`103TC1900X` — Psychologist, Counseling Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Counseling	State: PA \| License: `ps006277-L` \| Primary: Secondary
`103TF0000X` — Psychologist, Family Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Family	State: PA \| License: `Ps006277-L` \| Primary: Secondary
`103TC2200X` — Psychologist, Clinical Child & Adolescent Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical Child & Adolescent	State: PA \| License: `ps006277 L` \| Primary: Yes (Primary)

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A & A PSYCHOLOGICAL SERVICE PC (NPI #1972759413)