NPIMap

Organization Active NPI

Excela Health Physician Practices, Inc.

  • Psychiatry Physician
  • Mt Pleasant, PA
National Provider Identifier
1497937635
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Practice address
508 S Church St
Mt Pleasant, PA 15666-1702
Phone
(724) 547-1500
NPI assigned
Nov 29, 2007
Last updated
Mar 24, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
EXCELA HEALTH PHYSICIAN PRACTICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
John M. Sphon
Title
Vice President
Phone
(724) 830-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

508 S Church St
Mt Pleasant, PA 15666-1702

Mailing address

134 Industrial Park Rd Ste 2300a
Greensburg, PA 15601-7328
Phone (724) 689-1810

Other names 1

  • Excela Health Behavioral Health Services-Frick Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322001393 PA Part B Supplier - Clinic/Group Practice 6204737117 Receives reassigned benefits from 767 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Excela Health Physician Practices42 organizations share this tax ID, including this one
Part of
Excela Health Physician Practices

Other organizations with this tax ID 41

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

View all 41

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1497937635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 INDUSTRIAL PARK RD STE 2300A",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017328",
            "telephone_number": "724-689-1810",
            "fax_number": "724-850-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S CHURCH ST",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156661702",
            "telephone_number": "724-547-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELA HEALTH PHYSICIAN PRACTICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXCELA HEALTH PHYSICIAN PRACTICES, INC.",
        "enumeration_date": "2007-11-29",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "SPHON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "724-830-8500"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excela Health Behavioral Health Services-Frick",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mt Pleasant, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.