Upmc Presbyterian Shadyside

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

UPMC PRESBYTERIAN SHADYSIDE

Practice address

3811 Ohara St
Pittsburgh, PA 15213-2593

Phone

(412) 432-5500

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Bobrzynski, CFO

Title

Cfo

Phone

(412) 246-6809

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374192000000",
    "number": "1164544755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382007",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152508007",
            "telephone_number": "412-432-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 OHARA ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132593",
            "telephone_number": "412-432-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC PRESBYTERIAN SHADYSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2013-07-19",
        "status": "A",
        "authorized_official_last_name": "BOBRZYNSKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "412-246-6809",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1825",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Upmc Presby Shadyside
• Upmc Presbyterian Shadyside
• Upmc Presbyterian Shadyside
• Upmc Presbyterian Shadyside
• Upmc Presbyterian Shadyside
• Upmc Presbyterian Shadyside
• Upmc Presbyterian Shadyside
• Upmc Presbyterian Shadyside
• Upmc Presbyterian Shadyside
• Upmc Presbyterian Shadyside

• Substance Use Disorder Rehabilitation Clinic/Center in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; 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.