Organization Active NPI

Academy for Adolescent Health

  • Community/Behavioral Health Agency
  • Washington, PA
National Provider Identifier
1174876213
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ACADEMY FOR ADOLESCENT HEALTH
Practice address
410 N Main St
Washington, PA 15301-4328
Phone
(724) 222-2311
NPI assigned
Oct 25, 2012
Last updated
Oct 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Mr. Richard James Podgurski
Title
Cfo
Phone
(412) 877-4093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PA Primary

Addresses

Primary practice location

410 N Main St
Washington, PA 15301-4328

Mailing address

410 N Main St
Washington, PA 15301-4328
Phone (724) 222-2311

National Provider Directory

National Provider Directory

Locations

410 N Main St
Washington, PA 15301
Phone (412) 721-9125

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1174876213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N MAIN ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014328",
            "telephone_number": "724-222-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N MAIN ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014328",
            "telephone_number": "724-222-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMY FOR ADOLESCENT HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "PODGURSKI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "412-877-4093",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.