Jeremiah David McAuliffe Jr., PHD
Individual provider Active NPI Mental Health Counselor · Wilkinsburg, PA
NPI 1205957602 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1205957602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 712 South Ave
Wilkinsburg, PA 15221-2940 - Phone
- (412) 243-3400
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestone Centers Inc. | Past |
Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/milestonepa/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
712 South Ave
Wilkinsburg, PA 15221-2940
Mailing address
39 Kenmore Ave
#3
Pittsburgh, PA 15221-4829
Phone (412) 371-4121
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8351784 | Other | PA | OLD PHONE NUMBER |
Other providers in Wilkinsburg, PA
- Megan Liska
- Laura Lisofsky
- Living Angels Home Health Care Agency LLC
- Kiera Mallett
- Susan Marchezak
- Joshua McGee
- Purdie George McGrath
- Jeffrey Ross McKenna
- David McMullen
- Raymond Albert Metz
All providers in Wilkinsburg, PA · Mental Health Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.