Organization Active NPI

Bennu Inc

  • Psychiatry Physician
  • Mount Lebanon, PA
National Provider Identifier
1215167945
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BENNU INC
Practice address
615 Washington Rd Ste 106
Mount Lebanon, PA 15228-1901
Phone
(412) 303-1599
NPI assigned
Jul 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Authorized official

Name
Dr. Katherine Ann Kwiatkowski, MD
Title
President
Phone
(412) 303-1599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

615 Washington Rd Ste 106
Mount Lebanon, PA 15228-1901

Mailing address

226 Pleasant Ave Ste 4
MC Murray, PA 15317-2938
Phone (412) 303-1599

National Provider Directory

National Provider Directory

Locations

615 Washington Rd
Ste 106
Pittsburgh, PA 15228
Phone (412) 303-1599

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1215167945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 PLEASANT AVE STE 4",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172938",
            "telephone_number": "412-303-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 WASHINGTON RD STE 106",
            "city": "MOUNT LEBANON",
            "state": "PA",
            "postal_code": "152281901",
            "telephone_number": "412-303-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNU INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "KWIATKOWSKI",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-303-1599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Lebanon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.