Active NPI
Wesley Spectrum Services
- Community/Behavioral Health Agency
- Wilkinsburg, PA
National Provider Identifier
1508911470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 707179
- Legal business name
- WESLEY SPECTRUM SERVICES
- Practice address
- 221 Penn Ave
Wilkinsburg, PA 15221-2118 - Phone
- (412) 831-9390
- Fax
- (412) 831-8868
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Matthews, CPA
- Title
- Cfo
- Phone
- (412) 831-9390
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 707179 | PA | |
| Marriage & Family Therapist | 106H00000X | 707179 | PA | |
| Community/Behavioral Health Agency | 251S00000X | 707179 | PA | Primary |
| Clinic/Center | 261Q00000X | 707179 | PA |
Addresses
Primary practice location
221 Penn Ave
Wilkinsburg, PA 15221-2118
Mailing address
243 Johnston Rd
Upper Saint Clair, PA 15241-2534
Phone (412) 831-9390
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001340160023 | Medicaid | PA | |
| 329484A042016 | Other | PA | VBH OF PA |
| 1001340160025 | Medicaid | PA | |
| 131726 | Other | PA | KHPW |
Other names 1
- THE WESLEY INSTITUTE
National Provider Directory
National Provider Directory- Tax ID family
- The Wesley Institute
Other organizations with this tax ID 21
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- Community/Behavioral Health Agency
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- NPI 1205973286
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- NPI 1265587448
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- Community/Behavioral Health Agency
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-
- Addiction (Substance Use Disorder) Counselor
- Pittsburgh, PA
- NPI 1467667246
-
- Community/Behavioral Health Agency
- Upper Saint Clair, PA
- NPI 1588679070
-
- Community/Behavioral Health Agency
- Wilkinsburg, PA
- NPI 1639224819
-
- Community/Behavioral Health Agency
- Wilkinsburg, PA
- NPI 1740322528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227052800000",
"number": "1508911470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 JOHNSTON RD",
"city": "UPPER SAINT CLAIR",
"state": "PA",
"postal_code": "152412534",
"telephone_number": "412-831-9390",
"fax_number": "412-831-8868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 PENN AVE",
"city": "WILKINSBURG",
"state": "PA",
"postal_code": "152212118",
"telephone_number": "412-831-9390",
"fax_number": "412-831-8868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESLEY SPECTRUM SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2008-11-19",
"status": "A",
"authorized_official_last_name": "MATTHEWS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "412-831-9390",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "PA",
"license": "707179",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "707179",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "707179",
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "PA",
"license": "707179",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1001340160023",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VBH OF PA",
"identifier": "329484A042016",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1001340160025",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KHPW",
"identifier": "131726",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "THE WESLEY INSTITUTE",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Wilkinsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.