Active NPI
Chartiers Community Mental Health and Retardation Center, Inc.
- Psychiatry Physician
- Bridgeville, PA
National Provider Identifier
1316137557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- CHARTIERS COMMUNITY MENTAL HEALTH AND RETARDATION CENTER, INC.
- Practice address
- 437 Railroad Street
Bridgeville, PA 15017 - Phone
- (412) 221-3302
- Fax
- (412) 221-4902
- NPI assigned
- Jul 25, 2007
- Last updated
- Mar 27, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan A Coyle
- Title
- Ceo
- Phone
- (412) 221-3302
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
437 Railroad Street
Bridgeville, PA 15017
Mailing address
437 Railroad Street
Bridgeville, PA 15017
Phone (412) 221-3302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100002895 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364342400000",
"number": "1316137557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "437 RAILROAD STREET",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "15017",
"telephone_number": "412-221-3302",
"fax_number": "412-221-4902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "437 RAILROAD STREET",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "15017",
"telephone_number": "412-221-3302",
"fax_number": "412-221-4902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARTIERS COMMUNITY MENTAL HEALTH AND RETARDATION CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-25",
"last_updated": "2013-03-27",
"status": "A",
"authorized_official_last_name": "COYLE",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "412-221-3302"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100002895",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeville, PA
- Nicholas Chapasko, RPH
- Anthony Ryan Chapla, P.T.
- Denise Charbonneau, CRNP
- Chartiers Community Mental Health & Retardation Center, Inc.
- Chartiers Community Mental Health and Retardation Center, Inc
- Chartiers Valley School District
- Lori L Cherup, MD
- Nicolette Chiesa, M.D.
- Children's Community Care (Children's Community Pediatrics)
- Children's Community Care (Children's Community Pediatrics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.