Organization Active NPI

CPP Behavioral Health Inc.

  • Public Health or Welfare Agency
  • Uniontown, PA
National Provider Identifier
1306184775
Registry record updated Aug 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
444760 Issued in PA
Legal business name
CPP BEHAVIORAL HEALTH INC.
Practice address
180 N Gallatin Ave
Uniontown, PA 15401-2969
Phone
(724) 550-4343
NPI assigned
Jan 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2021

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

Authorized official

Name
Mr. Gregory Ponko
Title
Cfo
Phone
(724) 550-4343

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 444760 PA Primary
Community/Behavioral Health Agency 251S00000X 444760 PA

Addresses

Primary practice location

180 N Gallatin Ave
Uniontown, PA 15401-2969

Mailing address

180 N Gallatin Ave
Uniontown, PA 15401-2969
Phone (724) 550-4343

Other identifiers 3

IdentifierTypeStateIssuer
444760MedicaidPA
267020OtherPAPA DEPT OF HEALTH
10280554000001MedicaidPA

National Provider Directory

National Provider Directory

Locations

253 S Mount Vernon Ave
Uniontown, PA 15401
Phone (724) 438-4960

Practitioners & affiliated clinicians

Practitioners 1

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": "1358553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628899200000",
    "number": "1306184775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N GALLATIN AVE",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012969",
            "telephone_number": "724-550-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N GALLATIN AVE",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012969",
            "telephone_number": "724-550-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPP BEHAVIORAL HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-19",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A",
        "authorized_official_last_name": "PONKO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "724-550-4343",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "PA",
            "license": "444760",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "444760",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "444760",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA DEPT OF HEALTH",
            "identifier": "267020",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10280554000001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2021; 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.