Organization Active NPI

Keystone Advanced Behavioral Healthcare

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Wexford, PA
National Provider Identifier
1184969271
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
CNS000026 Issued in PA
Legal business name
KEYSTONE ADVANCED BEHAVIORAL HEALTHCARE
Practice address
12300 Perry Highway
Suite 204
Wexford, PA 15090-7612
Phone
(724) 719-2303
Fax
(724) 719-2303
NPI assigned
Nov 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Dr. Wendy Nuss Zubenko, EDD, MSN, PMHCNS-BC
Title
Owner
Phone
(724) 719-2303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0809X CNS000026 PA Primary

Addresses

Primary practice location

12300 Perry Highway
Suite 204
Wexford, PA 15090-7612

Mailing address

12300 Perry Highway
Suite 204
Wexford, PA 15090-7612
Phone (724) 719-2303

National Provider Directory

National Provider Directory

Locations

5500 Brooktree Rd
Ste 100
Wexford, PA 15090
Phone (724) 719-2303

Practitioners & affiliated clinicians

Practitioners 1

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": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1184969271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 PERRY HIGHWAY",
            "address_2": "SUITE 204",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907612",
            "telephone_number": "724-719-2303",
            "fax_number": "724-719-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 PERRY HIGHWAY",
            "address_2": "SUITE 204",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907612",
            "telephone_number": "724-719-2303",
            "fax_number": "724-719-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE ADVANCED BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "ZUBENKO",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "NUSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-719-2303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, MSN, PMHCNS-BC"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "PA",
            "license": "CNS000026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.