Organization Active NPI

Western PA Behavioral Health Resources LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Brownsville, PA
National Provider Identifier
1033438585
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
MD423515 Issued in PA
Legal business name
WESTERN PA BEHAVIORAL HEALTH RESOURCES LLC
Practice address
129 Simpson Rd
Suite 107
Brownsville, PA 15417-9689
Phone
(724) 785-4346
Fax
(724) 785-4347
NPI assigned
May 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Geith Shahoud, M.D.NPI 1346229291
Title
Sole Proprietor
Phone
(724) 785-4346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MD423515 PA
Adolescent and Children Mental Health Clinic/Center 261QM0855X MD423515 PA Primary

Addresses

Primary practice location

129 Simpson Rd
Suite 107
Brownsville, PA 15417-9689

Mailing address

129 Simpson Rd
Suite 107
Brownsville, PA 15417-9689
Phone (724) 785-4346

National Provider Directory

National Provider Directory

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": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1033438585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 SIMPSON RD",
            "address_2": "SUITE 107",
            "city": "BROWNSVILLE",
            "state": "PA",
            "postal_code": "154179689",
            "telephone_number": "724-785-4346",
            "fax_number": "724-785-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 SIMPSON RD",
            "address_2": "SUITE 107",
            "city": "BROWNSVILLE",
            "state": "PA",
            "postal_code": "154179689",
            "telephone_number": "724-785-4346",
            "fax_number": "724-785-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PA BEHAVIORAL HEALTH RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "SHAHOUD",
        "authorized_official_first_name": "GEITH",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "724-785-4346",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "MD423515",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "MD423515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.