Organization Active NPI

Compassion Mental Health Services of Pennsylvania, PLLC

  • Psychiatry Physician
  • New Castle, PA
National Provider Identifier
1295257681
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD449863 Issued in PA
Legal business name
COMPASSION MENTAL HEALTH SERVICES OF PENNSYLVANIA, PLLC
Practice address
3124 Wilmington Rd Ste 304
New Castle, PA 16105-1100
Phone
(814) 227-4331
NPI assigned
Jul 7, 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
Dr. Santiago A Almanzar Disla, MD
Title
Chief Executive Officer/Psychiatris
Phone
(814) 227-4331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD449863 PA Primary

Addresses

Primary practice location

3124 Wilmington Rd Ste 304
New Castle, PA 16105-1100

Mailing address

3230 Sequoia Dr
New Castle, PA 16105-2936
Phone (573) 825-8145

Other identifiers 1

IdentifierTypeStateIssuer
1770926750OtherPAPSYCHIATRY

Other names 1

  • Compassion Mental Health Services of Pennsylvania, PLLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171023000207 PA Part B Supplier - Clinic/Group Practice 9537435383 Receives reassigned benefits from 5 practitioners
Practice locations: New Castle, PA

National Provider Directory

National Provider Directory

Locations

11 Shenango Rd
Ste 2
New Castle, PA 16105
Phone (724) 658-6450

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295257681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 SEQUOIA DR",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161052936",
            "telephone_number": "573-825-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 WILMINGTON RD STE 304",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051100",
            "telephone_number": "814-227-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION MENTAL HEALTH SERVICES OF PENNSYLVANIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ALMANZAR DISLA",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER/PSYCHIATRIS",
        "authorized_official_telephone_number": "814-227-4331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD449863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHIATRY",
            "identifier": "1770926750",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassion Mental Health Services of Pennsylvania, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New Castle, 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.
  • 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.