180 Degrees Empowerment Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

180 DEGREES EMPOWERMENT CENTER

Practice address

751 High St Ste C
Brownsville, PA 15417-2164

Phone

(724) 208-9963

NPI assigned

Feb 12, 2020

Last updated

Feb 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Wendell Bates, MSHS

Title

Chief Operating Officer

Phone

(877) 829-5500

Specialties & licenses 1

Addresses

Other names 1

• 180 Degrees Empowerment Center Former legal business name

Locations

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1306478854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 HIGH ST STE C",
            "city": "BROWNSVILLE",
            "state": "PA",
            "postal_code": "154172164",
            "telephone_number": "724-208-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 HIGH ST STE C",
            "city": "BROWNSVILLE",
            "state": "PA",
            "postal_code": "154172164",
            "telephone_number": "724-208-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "180 DEGREES EMPOWERMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "877-829-5500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSHS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "180 Degrees Empowerment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "180 Degrees Empowerment Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kimberly Nicole Andria, MSW, LBS
• Bio-Medical Applications of Pennsylvania, Inc. (Fresenius Medical Care Redstone)
• Alyssa Elaine Blanc
• Kathryn Bobak, M.D.
• Melissa S Bozovich, PT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Brownsville, PA
• Providers in Brownsville, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.