Organization Active NPI

Modern Mental Health LLC

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1013757376
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MODERN MENTAL HEALTH LLC
Practice address
5800 Corporate Dr Ste 312
Pittsburgh, PA 15237-7098
Phone
(412) 952-4594
NPI assigned
May 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Michael Krawczykiewicz, DC
Title
Owner
Phone
(412) 952-4594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5800 Corporate Dr Ste 312
Pittsburgh, PA 15237-7098

Mailing address

5800 Corporate Dr Ste 312
Pittsburgh, PA 15237-7098
Phone (412) 952-4594

National Provider Directory

National Provider Directory

Locations

5800 Corporate Dr
Ste 312
Pittsburgh, PA 15237
Phone (412) 748-1707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1013757376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 CORPORATE DR STE 312",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152377098",
            "telephone_number": "412-952-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 CORPORATE DR STE 312",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152377098",
            "telephone_number": "412-952-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "KRAWCZYKIEWICZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-952-4594",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.