NPIMap

Organization Active NPI

Sharon Regional Health System

  • Adolescent and Children Mental Health Clinic/Center
  • Hermitage, PA
National Provider Identifier
1487767315
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
401270 Issued in PA
Legal business name
SHARON REGIONAL HEALTH SYSTEM
Practice address
2375 Garden Way
Hermitage, PA 16148-5209
Phone
(724) 983-5466
Fax
(724) 983-5446
NPI assigned
Aug 16, 2006
Last updated
Aug 14, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
SHARON REGIONAL HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Mr. Jeff A Chrobak
Title
Vice President for Finance
Phone
(724) 983-3815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 401270 PA Primary

Addresses

Primary practice location

2375 Garden Way
Hermitage, PA 16148-5209

Mailing address

699 E State St
Sharon, PA 16146-2057
Phone (724) 983-3817

Other identifiers 1

IdentifierTypeStateIssuer
1000000590099MedicaidPA

Other names 1

  • SRHS Behavioral Hlth Kitestrings Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Sharon Regional26 organizations share this tax ID, including this one
Part of
Sharon Regional

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1487767315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 E STATE ST",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161462057",
            "telephone_number": "724-983-3817",
            "fax_number": "724-983-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 GARDEN WAY",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161485209",
            "telephone_number": "724-983-5466",
            "fax_number": "724-983-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON REGIONAL HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHARON REGIONAL HEALTH SYSTEM",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "CHROBAK",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT FOR FINANCE",
        "authorized_official_telephone_number": "724-983-3815",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "401270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000000590099",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SRHS Behavioral Hlth Kitestrings Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.