Organization Active NPI

Chartiers Community Mental Health and Retardation Center, Inc.

  • Psychiatry Physician
  • Bridgeville, PA
National Provider Identifier
1316137557
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100002895MedicaidPA

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.