NPIMap

Organization Active NPI

Upmc Western Maryland Corporation

Doing business as UPMC Western Maryland

  • Psychiatry Physician
  • Cumberland, MD
National Provider Identifier
1285779884
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
UPMC WESTERN MARYLAND CORPORATION
Doing business as
UPMC Western Maryland
WMHS Behavioral Health Services
Practice address
12502 Willowbrook Rd
Suite 380
Cumberland, MD 21502-6393
Phone
(240) 964-8585
Fax
(240) 964-8586
NPI assigned
Feb 21, 2007
Last updated
Oct 20, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
UPMC WESTERN MARYLAND CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Amber Ruble
Title
Sr. VP Cfo
Phone
(240) 964-8032

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X MD
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X MD
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X MD
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X MD Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

12502 Willowbrook Rd
Suite 380
Cumberland, MD 21502-6393

Mailing address

PO Box 1671
Cumberland, MD 21501-1671
Phone (240) 964-8585

Other practice location 1

12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-7000

Other names 2

  • UPMC Western Maryland Doing business as
  • WMHS Behavioral Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040608000157 MD Part B Supplier - Clinic/Group Practice 7113900655 Receives reassigned benefits from 251 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lavale, MD; Oakland, MD; MC Henry, MD; Lonaconing, MD; Frostburg, MD; Cumberland, MD

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Psychaitric Physician S19 organizations share this tax ID, including this one
Part of
Psychaitric Physician S

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Practitioners & affiliated clinicians

Practitioners 205

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 205

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1285779884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1671",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215011671",
            "telephone_number": "240-964-8585",
            "fax_number": "240-964-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK RD",
            "address_2": "SUITE 380",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026393",
            "telephone_number": "240-964-8585",
            "fax_number": "240-964-8586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12500 Willowbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215026393",
            "country_code": "US",
            "telephone_number": "240-964-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UPMC WESTERN MARYLAND CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPMC WESTERN MARYLAND CORPORATION",
        "enumeration_date": "2007-02-21",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "RUBLE",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "SR. VP CFO",
        "authorized_official_telephone_number": "240-964-8032"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPMC Western Maryland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WMHS Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WMHS Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.