Jacob William McBride, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

OS018175 Issued in PA

Practice address

401 Shady Ave Ste 106
Pittsburgh, PA 15206-4409

Phone

(412) 365-5155

NPI assigned

May 14, 2012

Last updated

Sep 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Philadelphia College of Osteopathic Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Clair Medical Services IncGroup PAC ID 4183511553, 203 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Clair Medical Services, Inc.

  dba St. Clair Medical Group Psychiatry

  • Psychiatry Physician
  • Pittsburgh, PA
  • NPI 1467485565
  Medicare reassignment Care Compare group NPD
• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004
  Medicare reassignment NPD
• St Clair Medical Services Inc

  dba St. Clair Medical Group Otolaryngology

  • Otolaryngology Physician
  • Bethel Park, PA
  • NPI 1659224715
  NPD
• St Clair Medical Services, Inc.

  dba St. Clair Medical Group Breast & General Surgery

  • Surgery Physician
  • Bethel Park, PA
  • NPI 1891091831
  NPD
• University of Pittsburgh Physicians

  • Psychiatry Physician
  • Pittsburgh, PA
  • NPI 1215995402
  NPD
• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Clair Memorial Hospital

  dba St. Clair Hospital

  • General Acute Care Hospital
  • Pittsburgh, PA
  • NPI 1073587119
  Care Compare affiliation

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1497014211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SHADY AVE STE 106",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064409",
            "telephone_number": "412-365-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SHADY AVE STE 106",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064409",
            "telephone_number": "412-365-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "JACOB",
        "middle_name": "WILLIAM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-14",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS018175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah McBeth
• Autumn T McBride, MSCP, LPC
• Brianna McBride, LBS
• Donna Decesare McBride, MACP, AT
• Elizabeth Birungi McBride, BA
• Lori Anne McBride, DNP/PMHNP-BC
• Nancy Lalanne McBride, M.D.
• Brittany Nicole McBryde, BCBA
• Najah McBryde
• Kyla McBurney-Rebol, PHD

• Psychiatry Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.