NPIMap

Organization Active NPI

Mon Yough Community Services, Inc

  • Psychologist
  • McKeesport, PA
National Provider Identifier
1033326236
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MON YOUGH COMMUNITY SERVICES, INC
Practice address
500 Walnut St
3Rd Floor
McKeesport, PA 15132-2801
Phone
(412) 675-8533
Fax
(412) 675-8920
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Mrs. Catherine R Conroy
Title
Managed Care Coordinator
Phone
(412) 675-8533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

500 Walnut St
3Rd Floor
McKeesport, PA 15132-2801

Mailing address

500 Walnut St
3Rd Floor
McKeesport, PA 15132-2801
Phone (412) 675-8533

Other identifiers 1

IdentifierTypeStateIssuer
100000980MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Center for Substance Ab12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1033326236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WALNUT ST",
            "address_2": "3RD FLOOR",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322801",
            "telephone_number": "412-675-8533",
            "fax_number": "412-675-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WALNUT ST",
            "address_2": "3RD FLOOR",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322801",
            "telephone_number": "412-675-8533",
            "fax_number": "412-675-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MON YOUGH COMMUNITY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "CONROY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGED CARE COORDINATOR",
        "authorized_official_telephone_number": "412-675-8533",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000980",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKeesport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.