Active NPI
The Bradley Center, Inc.
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Pittsburgh, PA
National Provider Identifier
1619011269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- 401010
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100728156 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- The Bradley Center Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Pittsburgh, PA
- NPI 1588198261
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Pittsburgh, PA
- NPI 1679617203
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
- The Alliance for Infants & Toddlers, Inc.
- The Behavior Institute
- The Blessing Home Care LLC
- The Bradley Center
- The Bradley Center Inc PCP
- The Bradley Center, Inc.
- The Cataract and Vision Center of Pittsburgh, PLLC
- The Cataract Vision Institute LLC
- The Center for Cosmetic Surgery, PC
- The Center for Cosmetic Surgery, PC
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.