Organization Active NPI

James & Charolette Enterprises Inc

Doing business as Mt. Washington psychiatric Services

  • Clinical Psychologist
  • Pittsburgh, PA
National Provider Identifier
1568566206
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
JAMES & CHAROLETTE ENTERPRISES INC
Doing business as
Mt. Washington psychiatric Services
Practice address
160 Southern Ave
Pittsburgh, PA 15211-1910
Phone
(412) 431-0711
Fax
(412) 431-0732
NPI assigned
Sep 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Heather Kelly
Title
Practice Manager
Phone
(412) 431-0711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

160 Southern Ave
Pittsburgh, PA 15211-1910

Mailing address

160 Southern Ave
Pittsburgh, PA 15211-1910
Phone (412) 431-0711

Other identifiers 1

IdentifierTypeStateIssuer
1502011OtherPABLUE CROSS BLUE SHIELD

Other names 1

  • Mt. Washington psychiatric Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
James Charolette Enterprises Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568566206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SOUTHERN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152111910",
            "telephone_number": "412-431-0711",
            "fax_number": "412-431-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SOUTHERN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152111910",
            "telephone_number": "412-431-0711",
            "fax_number": "412-431-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES & CHAROLETTE ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "412-431-0711"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1502011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Washington psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.