NPIMap

Organization Active NPI

Fayette Specialty Associates

Doing business as Fayette Specialty Associates-Psychiatry

  • Geriatric Psychiatry Physician
  • Uniontown, PA
National Provider Identifier
1336441146
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
Legal business name
FAYETTE SPECIALTY ASSOCIATES
Doing business as
Fayette Specialty Associates-Psychiatry
Practice address
211 Easy St
Suite 213
Uniontown, PA 15401-3129
Phone
(724) 425-8332
Fax
(724) 434-1659
NPI assigned
Nov 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Authorized official

Name
Debbie Miller
Title
Administrator
Phone
(724) 425-8332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0805X PA Primary

Addresses

Primary practice location

211 Easy St
Suite 213
Uniontown, PA 15401-3129

Mailing address

112 Youngstown Rd
Suite 102
Lemont Furnace, PA 15456-1344
Phone (724) 425-8332

Other names 1

  • Fayette Specialty Associates-Psychiatry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fayette Specialty Associates10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

112 Youngstown Rd
Ste 102
Lemont Furnace, PA 15456
Phone (724) 434-1650

211 Easy St
Ste 213
Uniontown, PA 15401
Phone (724) 425-8332

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1336441146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 YOUNGSTOWN RD",
            "address_2": "SUITE 102",
            "city": "LEMONT FURNACE",
            "state": "PA",
            "postal_code": "154561344",
            "telephone_number": "724-425-8332",
            "fax_number": "724-434-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 EASY ST",
            "address_2": "SUITE 213",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013129",
            "telephone_number": "724-425-8332",
            "fax_number": "724-434-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE SPECIALTY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "724-425-8332"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fayette Specialty Associates-Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 30, 2010; 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.