NPIMap

Organization Active NPI

Upmc Northwest

  • Psychiatric Hospital Unit
  • Seneca, PA
National Provider Identifier
1013090745
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
151001 Issued in PA
Legal business name
UPMC NORTHWEST
Practice address
100 Fairfield Dr
Seneca, PA 16346-2130
Phone
(814) 676-7600
Fax
(814) 677-1410
NPI assigned
Oct 24, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brad Dinger
Title
Cfo
Phone
(814) 877-3739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 151001 PA Primary

Addresses

Primary practice location

100 Fairfield Dr
Seneca, PA 16346-2130

Mailing address

600 Grant Street, US Steel Tower, 59TH Floor
C/O Renee Johnson
Pittsburgh, PA 15219-2740
Phone (412) 623-6303

Other identifiers 2

IdentifierTypeStateIssuer
0932OtherPABLUE CROSS
1007757910060MedicaidPA

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL uconnect.upmc.com Other
Direct Messaging Address UPMCHospitals@upmcdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050321000425 PA Part A Provider - Hospital 4789663774 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clarion, PA; Franklin, PA; Reno, PA; Seneca, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013090745. Details of each certification follow.

Hospital certification: CCN 390091

Legal name
UPMC NORTHWEST
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 30, 2005
Beds
173 (90 certified)
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1992 in PA
Enrollment address
100 Fairfield Dr
Seneca, PA 16346-2130
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Upmc NorthwestCCN 390091 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joseph Pastor Individual Corporate DirectorBoard Member Jan 1, 2017
Lillian Williams Individual Corporate DirectorBoard Member Jan 1, 2025
Tamara Varsek Individual Corporate DirectorBoard Member Jan 1, 2017
Jeffrey Clark Individual Corporate DirectorBoard Member Jan 30, 2018
Beth Harman Individual Corporate DirectorChairperson Jan 30, 2018
Christopher Simms Individual Corporate DirectorBoard Member Jan 1, 2023
Matthew Laverde Individual Corporate DirectorBoard Member Jan 1, 2025
David P Gibbons Individual Corporate DirectorBoard Member Mar 2, 2009
William McCauley Individual Corporate DirectorSecretary Sep 1, 2007
Tammy Carr Individual Corporate OfficerAssistant Secretary Jun 13, 2025
Bart L Matson Individual Corporate DirectorBoard Member Jan 1, 2024
Peter Winkler Individual Corporate DirectorBoard Member Jan 1, 2022
Bradley Dinger Individual Corporate OfficerTreasurer Jun 19, 2018
W-2 Managing Employee Jun 19, 2018
Linda Barnhart Individual Corporate DirectorBoard Member Jul 1, 2022
Amgad H Abdu Individual Corporate DirectorBoard Member Jul 1, 2024
Janet Stewert Individual Corporate DirectorBoard Member Jan 1, 2024
James Knarr Individual Corporate DirectorBoard Member Jan 1, 2001
Upmc Organization, Pittsburgh, PA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 8, 2004 100%
Brian P Durniok Individual Corporate DirectorBoard Member Feb 7, 2017
Randy M Boggess Individual Corporate DirectorBoard Member Jan 1, 2011
Gregory Merkel Individual Corporate DirectorBoard Member Non Voting Jan 1, 2017

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 348

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 348

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1013090745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRANT STREET, US STEEL TOWER, 59TH FLOOR",
            "address_2": "C/O RENEE JOHNSON",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152192740",
            "telephone_number": "412-623-6303",
            "fax_number": "412-623-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FAIRFIELD DR",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163462130",
            "telephone_number": "814-676-7600",
            "fax_number": "814-677-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC NORTHWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "DINGER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-877-3739",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "PA",
            "license": "151001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0932",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007757910060",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "uconnect.upmc.com",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.552.100.2.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "600 Grant St",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMCHospitals@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "secure direct address for this UPMC Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "100 Fairfield Dr",
            "city": "Seneca",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163462130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seneca, PA

Sources for this page

Verify at the official NPI Registry.