NPIMap

Organization Active NPI

Jade Wellness Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Monroeville, PA
National Provider Identifier
1487158143
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
707270 Issued in PA
Legal business name
JADE WELLNESS CENTER
Practice address
4105 Monroeville Blvd
Monroeville, PA 15146-2607
Phone
(412) 380-0100
Fax
(412) 380-0200
NPI assigned
Mar 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Authorized official

Name
Abbie Scanio
Title
Vice President
Phone
(412) 380-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 707270 PA Primary

Addresses

Primary practice location

4105 Monroeville Blvd
Monroeville, PA 15146-2607

Mailing address

4105 Monroeville Blvd
Monroeville, PA 15146-2607
Phone (412) 380-0100

Other practice location 1

809 Bingham St
Pittsburgh, PA 15203-1009
Phone (412) 380-0100 ext. 3

Other practice location 2

101 N Meadows Dr Ste 234
Wexford, PA 15090-8368
Phone (412) 380-0100 ext. 2

Other identifiers 1

IdentifierTypeStateIssuer
1024568880001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Jade Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

809 Bingham St
Pittsburgh, PA 15203
Phone (412) 380-0100

101 N Meadows Dr
Ste 234
Wexford, PA 15090
Phone 4123800100 ext. 2

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/myjadewellness/r4/

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1487158143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 MONROEVILLE BLVD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462607",
            "telephone_number": "412-380-0100",
            "fax_number": "412-380-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 MONROEVILLE BLVD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462607",
            "telephone_number": "412-380-0100",
            "fax_number": "412-380-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 Bingham St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152031009",
            "country_code": "US",
            "telephone_number": "412-380-0100 x3",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 N Meadows Dr Ste 234",
            "address_purpose": "LOCATION",
            "city": "Wexford",
            "state": "PA",
            "postal_code": "150908368",
            "country_code": "US",
            "telephone_number": "412-380-0100 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JADE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "SCANIO",
        "authorized_official_first_name": "ABBIE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "412-380-0100"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PA",
            "license": "707270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024568880001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.