Active NPI
Keystone Advanced Behavioral Healthcare
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Wexford, PA
National Provider Identifier
1184969271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- CNS000026
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 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 DirectoryLocations
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.
-
- Psychiatry Physician
- Wexford, PA
- NPI 1356434187
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.