Organization Active NPI

Bodhi Recovery Inc

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Pittsburgh, PA
National Provider Identifier
1194246371
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
BODHI RECOVERY INC
Practice address
21 Yost Blvd
Cost Commons #5 Suite 301
Pittsburgh, PA 15221-5283
Phone
(412) 735-9197
Fax
(412) 291-2765
NPI assigned
Jun 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Carole Gene Stern, RN-BC, LICENSED PSYC
Title
Ceo/President
Phone
(724) 322-2229

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0400X
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X Primary

Addresses

Primary practice location

21 Yost Blvd
Cost Commons #5 Suite 301
Pittsburgh, PA 15221-5283

Mailing address

21 Yost Blvd
Cost Commons #5 Suite 301
Pittsburgh, PA 15221-5283
Phone (412) 735-9197

National Provider Directory

National Provider Directory

Locations

21 Yost Blvd
Ste 301
Pittsburgh, PA 15221
Phone (412) 735-9197

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194246371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 YOST BLVD",
            "address_2": "COST COMMONS #5 SUITE 301",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152215283",
            "telephone_number": "412-735-9197",
            "fax_number": "412-291-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 YOST BLVD",
            "address_2": "COST COMMONS #5 SUITE 301",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152215283",
            "telephone_number": "412-735-9197",
            "fax_number": "412-291-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODHI RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "724-322-2229",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN-BC, LICENSED PSYC"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 21, 2022; 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.