NPIMap

Organization Active NPI

Turtle Creek Valley MH Mr Inc

  • Community/Behavioral Health Agency
  • Homestead, PA
National Provider Identifier
1104960277
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
422510 Issued in PA
Legal business name
TURTLE CREEK VALLEY MH MR INC
Practice address
1705 Maple St
Also Uses 201 E 18TH Ave
Homestead, PA 15120-1800
Phone
(412) 461-4100
Fax
(412) 461-7096
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Authorized official

Name
Fran Sheedy Bost, MED
Title
Executive Director
Phone
(412) 351-0222

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 422510 PA Primary
Adult Mental Health Clinic/Center 261QM0850X 422510 PA
Adolescent and Children Mental Health Clinic/Center 261QM0855X 422510 PA

Addresses

Primary practice location

1705 Maple St
Also Uses 201 E 18TH Ave
Homestead, PA 15120-1800

Mailing address

723 Braddock Ave
Braddock, PA 15104-1849
Phone (412) 351-0222

Other identifiers 10

IdentifierTypeStateIssuer
340652OtherTRICARE CHAMPUS
648025OtherHIGHMARK
1760666OtherHIGHMARK
IG001416OtherMAGELLAN
1040548OtherGATEWAY HEALTH PLAN MEDICARE ASSURED
1007281380052MedicaidPA
111270OtherVALUE OPTIONS
1007281380009MedicaidPA
1007281380023MedicaidPA
1760672OtherHIGHMARK

National Provider Directory

National Provider Directory
Tax ID family
Turtle Creek Valley MH Mr Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

201 E 18th Ave
Homestead, PA 15120
Phone (412) 461-4100

Practitioners & affiliated clinicians

Practitioners 4

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1104960277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 BRADDOCK AVE",
            "city": "BRADDOCK",
            "state": "PA",
            "postal_code": "151041849",
            "telephone_number": "412-351-0222",
            "fax_number": "412-351-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 MAPLE ST",
            "address_2": "ALSO USES 201 E 18TH AVE",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151201800",
            "telephone_number": "412-461-4100",
            "fax_number": "412-461-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURTLE CREEK VALLEY MH MR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "SHEEDY BOST",
        "authorized_official_first_name": "FRAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "412-351-0222",
        "authorized_official_credential": "MED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "422510",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "422510",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "422510",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE CHAMPUS",
            "identifier": "340652",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "648025",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1760666",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "IG001416",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN MEDICARE ASSURED",
            "identifier": "1040548",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007281380052",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "111270",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007281380009",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007281380023",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1760672",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.