NPIMap

Organization Active NPI

Mon Yough Community Services, Inc

  • Community/Behavioral Health Agency
  • McKeesport, PA
National Provider Identifier
1467643742
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4422640 Issued in PA
Legal business name
MON YOUGH COMMUNITY SERVICES, INC
Practice address
331 Shaw Ave
McKeesport, PA 15132-2918
Phone
(412) 675-8533
Fax
(412) 675-8920
NPI assigned
Aug 5, 2007
Last updated
Dec 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Catherine Conroy
Title
Managed Care Coordinator
Phone
(412) 675-8533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4422640 PA Primary

Addresses

Primary practice location

331 Shaw Ave
McKeesport, PA 15132-2918

Mailing address

500 Walnut St
3Rd FL
McKeesport, PA 15132-2801
Phone (412) 675-8533

Other identifiers 1

IdentifierTypeStateIssuer
100000980MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040412000888 PA Part B Supplier - Clinic/Group Practice 4385638519 Receives reassigned benefits from 21 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: McKeesport, PA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mon Yough Community SVC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

335 Shaw Ave
McKeesport, PA 15132
Phone (412) 586-2801

704 2nd Ave
Fl 7
Pittsburgh, PA 15219
Phone (412) 471-6005

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1467643742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WALNUT ST",
            "address_2": "3RD FL",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322801",
            "telephone_number": "412-675-8533",
            "fax_number": "412-675-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 SHAW AVE",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322918",
            "telephone_number": "412-675-8533",
            "fax_number": "412-675-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MON YOUGH COMMUNITY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "CONROY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "MANAGED CARE COORDINATOR",
        "authorized_official_telephone_number": "412-675-8533"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "4422640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000980",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKeesport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.