Mainstay Life Services

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

MAINSTAY LIFE SERVICES

Practice address

200 Roessler Rd
Pittsburgh, PA 15220-1037

Phone

(412) 344-3640

Fax

(412) 344-5486

NPI assigned

Jan 5, 2022

Organization subpart

No

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

Authorized official

Name

Craig Douglass, MPM

Title

Chief Program Officer

Phone

(412) 344-3640

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy L Clarke, LPC

  • Professional Counselor
  • Pittsburgh, PA
  • NPI 1780350926
  NPD

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1467113084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ROESSLER RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152201037",
            "telephone_number": "412-344-3640",
            "fax_number": "412-344-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ROESSLER RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152201037",
            "telephone_number": "412-344-3640",
            "fax_number": "412-344-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTAY LIFE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "DOUGLASS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICER",
        "authorized_official_telephone_number": "412-344-3640",
        "authorized_official_credential": "MPM"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000916",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara S Maihle, CRNP
• Catherine Maihoefer, MS, NCC, LPC
• Kristyn Maikranz
• Colleen Erin Main, LCSW
• Emilee Jo Mainali, LSW MSW
• Namita Mainthia, PHARMD
• Jamie Lee Maiola, LSW
• Gregory David Mairs, LMFT
• Charity Maiure
• Samantha Maize, CRNP

• Developmental Disabilities Clinic/Center in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Developmental Disabilities Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.