Organization Active NPI

The Bradley Center, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Pittsburgh, PA
National Provider Identifier
1619011269
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
401010 Issued in PA
Legal business name
THE BRADLEY CENTER, INC.
Practice address
5180 Campbells Run Rd
Pittsburgh, PA 15205-9731
Phone
(412) 788-8219
Fax
(412) 809-8200
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Ms. Lisa Rene Fox
Title
Chief Executive Officer
Phone
(412) 788-8219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 401010 PA Primary

Addresses

Primary practice location

5180 Campbells Run Rd
Pittsburgh, PA 15205-9731

Mailing address

5180 Campbells Run Road
Pittsburgh, PA 15205-9731
Phone (412) 788-8219

Other identifiers 1

IdentifierTypeStateIssuer
100728156MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
The Bradley Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

5180 Campbells Run Rd
Pittsburgh, PA 15205
Phone 4127888219 ext. 5153

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1619011269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 CAMPBELLS RUN ROAD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152059731",
            "telephone_number": "412-788-8219",
            "fax_number": "412-788-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 CAMPBELLS RUN RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152059731",
            "telephone_number": "412-788-8219",
            "fax_number": "412-809-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRADLEY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "412-788-8219",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "PA",
            "license": "401010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100728156",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "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 May 4, 2011; 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.