Organization Active NPI

B/G Behavioral Health Services PC

  • Psychiatry Physician
  • Pittsburgh, PA
National Provider Identifier
1124009519
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD055893L Issued in PA
Legal business name
B/G BEHAVIORAL HEALTH SERVICES PC
Practice address
1910 Cochran Rd
One Manor Oak, Suite 600
Pittsburgh, PA 15220-1203
Phone
(412) 563-8800
Fax
(412) 563-8319
NPI assigned
Nov 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
John Guterson, MDNPI 1093744583
Title
President
Phone
(412) 421-6770

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X MD055893L PA
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X MD055893L PA Primary

Addresses

Primary practice location

1910 Cochran Rd
One Manor Oak, Suite 600
Pittsburgh, PA 15220-1203

Mailing address

2345 Murray Ave
Suite 200
Pittsburgh, PA 15217-2352
Phone (412) 421-6770

Other identifiers 1

IdentifierTypeStateIssuer
0015469790007MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040511000323 PA Part B Supplier - Clinic/Group Practice 0042209447 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA; North Huntingdon, PA; Bridgeville, PA

National Provider Directory

National Provider Directory
Tax ID family
BG Behavioral Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3560 Washington Pike
Bridgeville, PA 15017
Phone (412) 257-2855

1004 Arch St
Ste 6110
Pittsburgh, PA 15212
Phone (412) 323-5830

1910 Cochran Rd
Ste 600
Pittsburgh, PA 15220
Phone (412) 563-8800

2345 Murray Ave
Ste 200
Pittsburgh, PA 15217
Phone (412) 421-6770

Practitioners & affiliated clinicians

Practitioners 8

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": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1124009519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 MURRAY AVE",
            "address_2": "SUITE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172352",
            "telephone_number": "412-421-6770",
            "fax_number": "412-421-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 COCHRAN RD",
            "address_2": "ONE MANOR OAK, SUITE 600",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152201203",
            "telephone_number": "412-563-8800",
            "fax_number": "412-563-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B/G BEHAVIORAL HEALTH SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "GUTERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-421-6770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "MD055893L",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD055893L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015469790007",
            "state": "PA"
        }
    ],
    "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 18, 2008; 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.