NPIMap

Organization Active NPI

Persad Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pittsburgh, PA
National Provider Identifier
1215003447
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PERSAD CENTER, INC.
Practice address
5301 Butler St
Suite 100
Pittsburgh, PA 15201-2656
Phone
(412) 441-9786
Fax
(412) 408-3720
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Mr. Derek Barnes
Title
Billing Manager
Phone
(412) 441-9786

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 459220 PA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 707239 PA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X PA Primary

Addresses

Primary practice location

5301 Butler St
Suite 100
Pittsburgh, PA 15201-2656

Mailing address

5301 Butler St
Suite 100
Pittsburgh, PA 15201-2656
Phone (412) 441-9786

Other identifiers 2

IdentifierTypeStateIssuer
100777947MedicaidPA
632330OtherPAHIGHMARK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dbarnes@persadcenter.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031218000027 PA Part B Supplier - Clinic/Group Practice 4183521065 Receives reassigned benefits from 18 practitioners
Practice locations: Washington, PA; Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

5301 Butler St
Ste 100
Pittsburgh, PA 15201
Phone (412) 441-9786

59 E Strawberry Ave
Washington, PA 15301
Phone (724) 344-6625

Practitioners & affiliated clinicians

Practitioners 72

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 72

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1215003447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 BUTLER ST",
            "address_2": "SUITE 100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152012656",
            "telephone_number": "412-441-9786",
            "fax_number": "412-408-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 BUTLER ST",
            "address_2": "SUITE 100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152012656",
            "telephone_number": "412-441-9786",
            "fax_number": "412-408-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSAD CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "412-441-9786",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "459220",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "707239",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100777947",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "632330",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbarnes@persadcenter.org",
            "affiliation": "N",
            "endpointDescription": "dbarnes@persadcenter.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5301 Butler St",
            "address_2": "Suite 100",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152012656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.