Provider Demographics
NPI:1457427403
Name:JANOSKI, THOMAS BERNARD (PHD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:BERNARD
Last Name:JANOSKI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 N DITHRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2646
Mailing Address - Country:US
Mailing Address - Phone:412-682-4002
Mailing Address - Fax:
Practice Address - Street 1:161 N DITHRIDGE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2646
Practice Address - Country:US
Practice Address - Phone:412-682-4002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-005811-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAJA632431OtherHIGHMARK BCBS ID
PAJA632431OtherHIGHMARK BCBS ID