Organization Active NPI

Full Spectrum Psychiatry

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pittsburgh, PA
National Provider Identifier
1609481589
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FULL SPECTRUM PSYCHIATRY
Practice address
12 Eastern Ave Ste 200
Pittsburgh, PA 15215-3038
Phone
(412) 345-1159
NPI assigned
Sep 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Xenia Borue, MD PHD
Title
President
Phone
(412) 345-1159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

12 Eastern Ave Ste 200
Pittsburgh, PA 15215-3038

Mailing address

132 Howard St
Millvale, PA 15209-2524
Phone (412) 345-1159

Other identifiers 1

IdentifierTypeStateIssuer
1030834200001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@fspsychiatry.com Direct

National Provider Directory

National Provider Directory

Locations

12 Eastern Ave
Ste 200
Pittsburgh, PA 15215
Phone (412) 345-1159

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1609481589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 HOWARD ST",
            "city": "MILLVALE",
            "state": "PA",
            "postal_code": "152092524",
            "telephone_number": "412-345-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 EASTERN AVE STE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152153038",
            "telephone_number": "412-345-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL SPECTRUM PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "BORUE",
        "authorized_official_first_name": "XENIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-345-1159",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030834200001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@fspsychiatry.com",
            "affiliation": "N",
            "endpointDescription": "FSP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPAA compliant email",
            "address_1": "12 Eastern Ave Ste 200",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152153038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Jul 3, 2024; 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.