Organization Active NPI

Upmc Behavioral Health of the Alleghenies

  • Community/Behavioral Health Agency
  • Altoona, PA
National Provider Identifier
1063587103
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
311650 Issued in PA
Legal business name
UPMC BEHAVIORAL HEALTH OF THE ALLEGHENIES
Practice address
500 E Chestnut Ave
Center for Counseling
Altoona, PA 16601-5215
Phone
(814) 943-0414
Fax
(814) 943-6198
NPI assigned
Nov 22, 2006
Last updated
Oct 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Authorized official

Name
Mark Chuff
Title
Executive Director
Phone
(814) 940-7457

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 311650 PA Primary
Community/Behavioral Health Agency 251S00000X
Clinic/Center 261Q00000X 311650 PA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 311650 PA
Adult Mental Health Clinic/Center 261QM0850X 311650 PA
Adolescent and Children Mental Health Clinic/Center 261QM0855X 311650 PA

Addresses

Primary practice location

500 E Chestnut Ave
Center for Counseling
Altoona, PA 16601-5215

Mailing address

500 E Chestnut Ave
Altoona, PA 16601-5215
Phone (412) 246-5050

Other identifiers 5

IdentifierTypeStateIssuer
114514OtherPAVALUE OPTIONS
263087OtherPAHIGHMARK & PA BLUE SHIELD
311650OtherPASTATE LICENSE
1000007650025MedicaidPA
1652320OtherPAHIGHMARK BLUE CARD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110110000792 PA Part B Supplier - Clinic/Group Practice 6103733068 Receives reassigned benefits from 10 practitioners
Practice locations: Altoona, PA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1216 Pleasant Valley Blvd
Altoona, PA 16602
Phone (814) 946-2005

1510 9th Ave
Altoona, PA 16602
Phone (814) 889-3900

500 E Chestnut Ave
Altoona, PA 16601
Phone (814) 942-1903

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1063587103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E CHESTNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166015215",
            "telephone_number": "412-246-5050",
            "fax_number": "412-246-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E CHESTNUT AVE",
            "address_2": "CENTER FOR COUNSELING",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166015215",
            "telephone_number": "814-943-0414",
            "fax_number": "814-943-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC BEHAVIORAL HEALTH OF THE ALLEGHENIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "CHUFF",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-940-7457"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "311650",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "311650",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "311650",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "311650",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "311650",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "114514",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK & PA BLUE SHIELD",
            "identifier": "263087",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "311650",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000007650025",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CARD",
            "identifier": "1652320",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.