Individual provider Active NPI

Chanserey Pich, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • New Kensington, PA
National Provider Identifier
1598626475
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP034602 Issued in PA
Practice address
310 Central City PLZ
New Kensington, PA 15068-6441
Phone
(878) 847-7179
Fax
(878) 847-7180
NPI assigned
Nov 20, 2025
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 125645 WV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP034602 PA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 31217 SC

Addresses

Primary practice location

310 Central City PLZ
New Kensington, PA 15068-6441

Mailing address

310 Central City PLZ
New Kensington, PA 15068-6441

Other practice location 1

437B S Maple Ave
Greensburg, PA 15601-3220
Phone (724) 315-7424

Other practice location 2

3543 Dreher Shoals Rd
Irmo, SC 29063-7608
Phone (803) 977-4170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12875 Route 30
Suite 21
North Huntingdon, PA 15642

804 N 19TH Ave
Suite 2a
Bozeman, MT 59718-6929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP034602PAMDPsychiatric/Mental Health Nurse Practitioner
31217SCMDPsychiatric/Mental Health Nurse Practitioner
125645WVMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1598626475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CENTRAL CITY PLZ",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150686441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CENTRAL CITY PLZ",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150686441",
            "telephone_number": "878-847-7179",
            "fax_number": "878-847-7180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "437B S Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156013220",
            "country_code": "US",
            "telephone_number": "724-315-7424",
            "fax_number": "888-261-7424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3543 Dreher Shoals Rd",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290637608",
            "country_code": "US",
            "telephone_number": "803-977-4170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICH",
        "first_name": "CHANSEREY",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-20",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "125645",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP034602",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "31217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Kensington, PA

Sources for this page

Verify at the official NPI Registry.