Active NPI
Pyramid Healthcare, Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Moraine, OH
National Provider Identifier
1396506267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- PYRAMID HEALTHCARE, INC.
- Practice address
- 3055 Kettering Blvd Ste 101
Moraine, OH 45439-1900 - Phone
- (937) 446-6046
- NPI assigned
- Jan 18, 2024
- 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
- Jason Hendricks
- Title
- Ceo
- Phone
- (814) 940-0407
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
3055 Kettering Blvd Ste 101
Moraine, OH 45439-1900
Mailing address
PO Box 967
Duncansville, PA 16635-0967
Phone (814) 940-0407
National Provider Directory
National Provider Directory- Tax ID family
- Pyramid Healthcare
Other organizations with this tax ID 39
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705536000000",
"number": "1396506267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 967",
"city": "DUNCANSVILLE",
"state": "PA",
"postal_code": "166350967",
"telephone_number": "814-940-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3055 KETTERING BLVD STE 101",
"city": "MORAINE",
"state": "OH",
"postal_code": "454391900",
"telephone_number": "937-446-6046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PYRAMID HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-18",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A",
"authorized_official_last_name": "HENDRICKS",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "814-940-0407"
},
"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": []
}
Other providers in Moraine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.